Aquanatte Jackson, LCSW
NPI 1508145244ActiveIndividual· Social Worker, Clinical· Gary, IN
Social Worker, Clinical (LCSW) in Gary, Indiana, with an NPI issued in August 2011. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1508145244 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Aug 11, 2011 |
| Last updated in NPPES | Mar 28, 2025 |
| Certified by provider | Mar 28, 2025 |
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 Practitioner - Clinical Social Worker (AL); Practitioner - Clinical Social Worker (GA); Practitioner - Clinical Social Worker (IL); Practitioner - Clinical Social Worker (IN); Practitioner - Clinical Social Worker (NC); Practitioner - Clinical Social Worker (NV); Practitioner - Clinical Social Worker (OR); Practitioner - Clinical Social Worker (TX) |
|---|
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 28 clinical social workers in Gary · All clinical social workers in Indiana