Lacey Jackson PLLC
NPI 1285302851ActiveOrganization· Social Worker, Clinical· Murfreesboro, TN
Social Worker, Clinical in Murfreesboro, Tennessee, registered in NPPES in August 2021. The authorized official on file is Lacey Jackson, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285302851 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2021 |
| Last updated in NPPES | Aug 31, 2021 |
| Certified by provider | Aug 31, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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 Part B Supplier - Clinic/Group Practice (TN) |
|---|
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