DR. JACKELINE GUILLON (EDD, LCSW) – Clinical Social Worker, NPI 1881264034

DR. JACKELINE GUILLON (EDD, LCSW) is a healthcare provider. based in Mission, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials EDD, LCSW. They hold a License No. 55941 (TX). The NPI Number for DR. JACKELINE GUILLON (EDD, LCSW) is 1881264034

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACKELINE GUILLON (EDD, LCSW)
NPI
1881264034
Phone
(956) 648-8720
Address
2326 E 25TH ST
Enumeration Date
30 June 2021
Last Update Date
30 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2142722774
Graduation Year
2020 (6 years ago)
PAC ID
2163903295
Group Practice PAC ID
5193255099
Professional Enrollment ID
I20260226000185
Address ID
TX750355974FR13500LNXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

Provider Addresses for DR. JACKELINE GUILLON (EDD, LCSW)

  • 2326 E 25TH ST

    MISSION, TX 785747622

    Phone: (956) 648-8720

    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: 2026-02-26

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
I20260226000185IClinical 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 78574)

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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: 5193255099View full group profile
NameSpecialtyState
Clinical Social WorkerTX
Nurse PractitionerTX
Clinical Social WorkerFL
Clinical Social WorkerFL
Nurse PractitionerTX
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the standard ID for DR. JACKELINE GUILLON (EDD, LCSW) in the U.S.?
In the U.S., DR. JACKELINE GUILLON (EDD, LCSW) is identified by NPI 1881264034.
Does the public listing show DR. JACKELINE GUILLON (EDD, LCSW) as active?
DR. JACKELINE GUILLON (EDD, LCSW)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. JACKELINE GUILLON (EDD, LCSW)?
NPPES ties DR. JACKELINE GUILLON (EDD, LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. JACKELINE GUILLON (EDD, LCSW) tied to Mission, Texas?
If you are local to Mission, Texas, DR. JACKELINE GUILLON (EDD, LCSW) may be relevant to your search.
Why is information missing for DR. JACKELINE GUILLON (EDD, LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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