Audrey Lee Jackson, MSW - Medicare Clinical Social Worker in Ypsilanti, MI

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Audrey Lee Jackson, MSW is a medicare enrolled "Social Worker - Clinical" provider in Ypsilanti, Michigan. She graduated from medical school in 1978 and has 48 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Catholic Social Services Of Washtenaw County and her current practice location is 811 Young St, Ypsilanti, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 352-9474.

Audrey Lee Jackson is licensed to practice in Michigan (license number 6801105658) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093237943.

Contact Information

Audrey Lee Jackson, MSW
811 Young St,
Ypsilanti, MI 48198
(734) 352-9474
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAudrey Lee Jackson
GenderFemale
SpecialityClinical Social Worker
Experience48 Years
Location811 Young St, Ypsilanti, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Audrey Lee Jackson graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1093237943
  • Provider Enumeration Date: 07/12/2017
  • Last Update Date: 06/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6204240427
  • Enrollment ID: I20210129002230

Medical Identifiers

Medical identifiers for Audrey Lee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093237943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6801105658 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Catholic Social Services Of Washtenaw County05472883004

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Audrey Lee Jackson allows following entities to bill medicare on her behalf.
Entity NameDownriver Mental Health Clinic PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295866135
PECOS PAC ID: 7911995139
Enrollment ID: O20040505000533
Entity NameNeighborhood Service Organization
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891825808
PECOS PAC ID: 7113907387
Enrollment ID: O20040720001455
Entity NameCatholic Social Services of Washtenaw County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679687339
PECOS PAC ID: 0547288300
Enrollment ID: O20051110000039
Entity NameInternational Therapy Solutions PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093254120
PECOS PAC ID: 9739463084
Enrollment ID: O20170303002038
Entity NameThrive Counseling LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20190930001163
Entity NamePure Psychiatry of Michigan PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831701671
PECOS PAC ID: 1254741283
Enrollment ID: O20201103002311

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audrey Lee Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Audrey Lee Jackson, MSW
811 Young St,
Ypsilanti, MI 48198-4021

Ph: (734) 352-9474		Audrey Lee Jackson, MSW
811 Young St,
Ypsilanti, MI 48198

Ph: (734) 352-9474

Reviews and Comments


Social Worker in Ypsilanti, MI

Vitalis Im,
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Phone: 734-945-6210    Fax: 734-368-9115
Jasmin Ashakih,
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Phone: 734-709-6205    
Rosemary Kretzschmar, PRIMARY
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Medicare: Not Enrolled in Medicare
Practice Location: 6633 Stony Creek Rd, Ypsilanti, MI 48197
Phone: 734-485-8725    Fax: 734-485-6103
Mrs. Rosalind Mackraz Dieterich, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2900 Packard Rd, Suite 1, Ypsilanti, MI 48197
Phone: 734-528-9703    Fax: 734-572-8866

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.