BRADLEY JACKSON (LCSW) – Social Worker, NPI 1396491338

BRADLEY JACKSON (LCSW) is a healthcare provider. based in Aurora, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW.09928672 (CO). The NPI Number for BRADLEY JACKSON (LCSW) is 1396491338

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY JACKSON (LCSW)
NPI
1396491338
Phone
(720) 347-8559
Address
2620 S Parker Rd Ste 185
Enumeration Date
28 February 2022
Last Update Date
6 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7203478559
Graduation Year
2020 (6 years ago)
PAC ID
3173066248
Group Practice PAC ID
7113176512
Professional Enrollment ID
I20240617003448
Address ID
CO800155187AU20971RDXX501

Contacts

Other Endpoint
https://www.centerforvaluedliving.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for BRADLEY JACKSON (LCSW)

  • 2620 S Parker Rd Ste 185

    Aurora, CO 800141626

    Phone: (720) 347-8559

    Fax: (720) 207-6885

    Type: Location

  • 6509 S Santa Fe Dr

    Littleton, CO 801202910

    Phone: (303) 730-8858

    Type: Location

  • 1164 S ACOMA ST UNIT 483

    DENVER, CO 802101654

    Phone:

    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: 2024-06-17

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
I20240617003448IClinical Social WorkerCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80014)

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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: 7113176512View full group profile
NameSpecialtyState
Clinical PsychologistCO
Mental Health CounselorCO
Mental Health CounselorCO
-TX
Clinical Social WorkerCO
-CO
Mental Health CounselorCO
Clinical Social WorkerCO

Reviews

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Frequently asked questions

How do I look up BRADLEY JACKSON (LCSW) by NPI?
Use NPI 1396491338 when you need to reference BRADLEY JACKSON (LCSW) in forms, claims, or directories.
Does this profile mean BRADLEY JACKSON (LCSW) is currently active?
Yes — BRADLEY JACKSON (LCSW) appears active in the national provider directory.
What field does BRADLEY JACKSON (LCSW) work in?
You can think of BRADLEY JACKSON (LCSW) as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place BRADLEY JACKSON (LCSW)?
The snapshot lists Aurora, Colorado for BRADLEY JACKSON (LCSW); download NPPES for the complete set.
What if Aurora, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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