MRS. ROBIN MICHELLE JACKSON (LCSW) – Clinical Social Worker, NPI 1912212705

MRS. ROBIN MICHELLE JACKSON (LCSW) is a healthcare provider. based in Jonesboro, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 6536-C (AR). The NPI Number for MRS. ROBIN MICHELLE JACKSON (LCSW) is 1912212705

Main info

Female
Sole Proprietor
14 Years Of Experience
Name
MRS. ROBIN MICHELLE JACKSON (LCSW)
NPI
1912212705
Phone
(870) 933-6886
Address
1815 PLEASANT GROVE RD
Enumeration Date
17 August 2010
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
3577862325
Group Practice PAC ID
1052675162
Professional Enrollment ID
I20160428000951
Address ID
AR720232435CA500XXRDXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

Provider Addresses for MRS. ROBIN MICHELLE JACKSON (LCSW)

  • 1815 PLEASANT GROVE RD

    JONESBORO, AR 724017870

    Phone: (870) 933-6886

    Fax: (870) 933-9395

    Type: Mailing

  • 2126 N 1ST ST STE F

    JACKSONVILLE, AR 720762868

    Phone: (501) 982-5000

    Fax: (501) 982-5007

    Type: Location

  • 15 PAMELA LN

    SHERWOOD, AR 721202645

    Phone: (501) 944-4660

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160428000951IClinical Social WorkerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour30519$0
View full utilization report →

Insurance plans in this area (ZIP 72401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052675162View full group profile
NameSpecialtyState
Clinical Social WorkerAR

Reviews

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Frequently asked questions

Does MRS. ROBIN MICHELLE JACKSON (LCSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. ROBIN MICHELLE JACKSON (LCSW) uses 1912212705.
Can I rely on MRS. ROBIN MICHELLE JACKSON (LCSW) being an active provider?
As of the registry snapshot, MRS. ROBIN MICHELLE JACKSON (LCSW) is marked active.
What taxonomy line describes MRS. ROBIN MICHELLE JACKSON (LCSW)?
For research purposes, treat MRS. ROBIN MICHELLE JACKSON (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where is MRS. ROBIN MICHELLE JACKSON (LCSW) based?
MRS. ROBIN MICHELLE JACKSON (LCSW) is tied to Jonesboro, Arkansas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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