Stephanie Sherelle Jackson, LCSW
NPI 1003521139ActiveIndividual· Social Worker, Clinical· Converse, TX
Social Worker, Clinical (LCSW) in Converse, Texas, licensed in TX, with an NPI issued in January 2023. Medicare paid $41,582 for services to 113 patients in 2024.
Overview
| NPI | 1003521139 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jan 23, 2023 |
| Last updated in NPPES | Aug 5, 2025 |
| Certified by provider | Aug 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 58542 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 603 across 4 procedure codes |
| Paid by Medicare | $41,582 |
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