MS. ROSEMARY B JACKSON (MSW,LCSW) – Clinical Social Worker, NPI 1790992576

MS. ROSEMARY B JACKSON (MSW,LCSW) is a healthcare provider. based in Saint louis, Missouri. specializing in Clinical Social Worker. They hold the professional credentials MSW,LCSW. They hold a License No. 001760 (MO). The NPI Number for MS. ROSEMARY B JACKSON (MSW,LCSW) is 1790992576

Main info

Female
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
MS. ROSEMARY B JACKSON (MSW,LCSW)
NPI
1790992576
Phone
(314) 371-6500
Address
2650 OLIVE ST
Enumeration Date
17 May 2007
Last Update Date
18 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148004215
Graduation Year
1981 (45 years ago)
PAC ID
7618135518
Group Practice PAC ID
9537391693
Professional Enrollment ID
I20120223000541
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MS. ROSEMARY B JACKSON (MSW,LCSW)

  • 2650, Olive Street, Midtown, City of Saint Louis, Missouri, 63103, United States

    SAINT LOUIS, MO 631031424

    Phone: (314) 371-6500

    Fax: (314) 371-6508

    Mailing address matches the actual address.

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: 2012-02-23

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
I20120223000541IClinical Social WorkerMOTBD

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
90832Psychotherapy, 30 minutes19419$0
View full utilization report →

Insurance plans in this area (ZIP 63103)

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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: 9537391693View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Clinical PsychologistMO

Reviews

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Frequently asked questions

What identifier follows MS. ROSEMARY B JACKSON (MSW,LCSW) across health systems?
The NPI 1790992576 uniquely identifies MS. ROSEMARY B JACKSON (MSW,LCSW) in U.S. healthcare data.
Is MS. ROSEMARY B JACKSON (MSW,LCSW) currently accepting referrals based on NPI status?
Registry metadata lists MS. ROSEMARY B JACKSON (MSW,LCSW) as active.
Which specialty label fits MS. ROSEMARY B JACKSON (MSW,LCSW)?
NPPES ties MS. ROSEMARY B JACKSON (MSW,LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. ROSEMARY B JACKSON (MSW,LCSW)?
MS. ROSEMARY B JACKSON (MSW,LCSW) is associated with Saint Louis, Missouri in the same public data insurers reference.
Who maintains MS. ROSEMARY B JACKSON (MSW,LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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