Yvette Lisa Jackson, LCSW
NPI 1063927853ActiveIndividual· Social Worker, Clinical· Boise, ID
Social Worker, Clinical (LCSW) with St Lukes Clinic-Treasure Valley LLC, practicing in Boise, Idaho. Medicare paid $15,969 for services to 36 patients in 2024. Lists St Luke's Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1063927853 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Dec 3, 2017 |
| Last updated in NPPES | Jul 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW-37582 | ID |
| Social Worker | 104100000X | LMSW-33944 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 295 across 5 procedure codes |
| Paid by Medicare | $15,969 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliation
- St Luke's Regional Medical CenterBoise, ID
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