MS. DEBRA R JACKSON (LCSW) – Clinical Social Worker, NPI 1154391050

MS. DEBRA R JACKSON (LCSW) is a healthcare provider. based in San antonio, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 9360 (TX). The NPI Number for MS. DEBRA R JACKSON (LCSW) is 1154391050

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
MS. DEBRA R JACKSON (LCSW)
NPI
1154391050
Phone
(713) 686-9194
Address
2012 NW Military Hwy Ste 100
Enumeration Date
24 January 2006
Last Update Date
25 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7136869194
Graduation Year
1984 (42 years ago)
PAC ID
3971497728
Group Practice PAC ID
5193619930
Professional Enrollment ID
I20100803000280
Address ID
TX770557236HO1214XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

Provider Addresses for MS. DEBRA R JACKSON (LCSW)

  • 2012 NW Military Hwy Ste 100

    San Antonio, TX 782132130

    Phone: (713) 686-9194

    Fax: (713) 686-9413

    Type: Location

  • 1214 N POST OAK RD STE 100

    HOUSTON, TX 770557236

    Phone: (713) 686-9194

    Fax: (713) 686-9413

    Type: Location

  • Jack in the Box, South Post Oak Road, Houston, Fort Bend County, Texas, 77053, United States

    HOUSTON, TX 772550769

    Phone: (713) 686-9194

    Fax: (713) 686-9413

    Type: Mailing

  • 6640, Long Point Road, Houston, Harris County, Texas, 77055, United States

    HOUSTON, TX 770552633

    Phone: (713) 686-9194

    Fax: (713) 686-9413

    Type: Location

  • 4131 Spicewood Springs Rd Ste J1

    Austin, TX 787598600

    Phone: (713) 686-9194

    Fax: (713) 686-9413

    Type: Location

  • 6518 Baker Blvd

    Richland Hills, TX 761186292

    Phone: (713) 686-9194

    Type: Location

  • 4411 DACOMA ST

    HOUSTON, TX 770928611

    Phone: (713) 686-9194

    Fax: (713) 686-9413

    Type: Location

  • 101 FEU FOLLET RD STE 100

    LAFAYETTE, LA 705084234

    Phone: (713) 686-9194

    Fax: (713) 686-9413

    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: 2010-08-03

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
I20100803000280IClinical Social WorkerTXTBD

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 78213)

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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: 5193619930View full group profile
NameSpecialtyState
Clinical Social WorkerLA
Clinical Social WorkerTX
Mental Health CounselorTX
-TX
-TX
Clinical Social WorkerTX
Clinical Social WorkerTX
-TX
Clinical Social WorkerTX
Clinical Social WorkerTX

Reviews

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Frequently asked questions

How do I look up MS. DEBRA R JACKSON (LCSW) by NPI?
Use NPI 1154391050 when you need to reference MS. DEBRA R JACKSON (LCSW) in forms, claims, or directories.
Is MS. DEBRA R JACKSON (LCSW) currently active in the NPI registry?
CMS-published data lists MS. DEBRA R JACKSON (LCSW) as an active registrant.
What does MS. DEBRA R JACKSON (LCSW) treat or focus on?
Patients typically see MS. DEBRA R JACKSON (LCSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for MS. DEBRA R JACKSON (LCSW)?
We surface San Antonio, Texas for MS. DEBRA R JACKSON (LCSW) based on available NPPES addresses.
Is MS. DEBRA R JACKSON (LCSW) a real provider?
This page reflects official NPPES data for NPI 1154391050. Always confirm identity and privileges with the practice and licensing boards.

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