JESSICA ROBERSON (LCSW) – Clinical Social Worker, NPI 1184490120

JESSICA ROBERSON (LCSW) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for JESSICA ROBERSON (LCSW) is 1184490120

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ROBERSON (LCSW)
NPI
1184490120
Phone
Not provided
Address
102 N ELM PL STE N
Enumeration Date
30 November 2023
Last Update Date
30 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187608155
Graduation Year
2014 (12 years ago)
PAC ID
9830695949
Group Practice PAC ID
5395185003
Professional Enrollment ID
I20250929002018
Address ID
OK740123883BR102XXPLXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

Provider Addresses for JESSICA ROBERSON (LCSW)

  • 102 N ELM PL STE N

    BROKEN ARROW, OK 740123883

    Phone:

    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: 2025-09-29

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
I20250929002018IClinical Social WorkerOKTBD

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 74012)

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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: 5395185003View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Clinical Social WorkerOK
Clinical Social WorkerOK

Reviews

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Frequently asked questions

What is JESSICA ROBERSON (LCSW)'s NPI number?
JESSICA ROBERSON (LCSW)'s NPI is 1184490120 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JESSICA ROBERSON (LCSW)?
You should see JESSICA ROBERSON (LCSW) as active in CMS-hosted NPPES data.
What expertise is attributed to JESSICA ROBERSON (LCSW)?
JESSICA ROBERSON (LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with JESSICA ROBERSON (LCSW)?
Directory geography for JESSICA ROBERSON (LCSW) centers on Broken Arrow, Oklahoma.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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