Carla L Jackson, LCSW in Knoxville, TN - Medicare Social Worker Provider

Carla L Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Knoxville, Tennessee. Her current practice location is 2911 Essary Dr Ste 200, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 371-8101.

Carla L Jackson is licensed to practice in Tennessee (license number 6776) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013555770.

Contact Information

	Carla L Jackson, LCSW
	2911 Essary Dr Ste 200, Knoxville, TN 37918-2469
	(865) 371-8101
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carla L Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	2911 Essary Dr Ste 200, Knoxville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013555770
Provider Enumeration Date: 12/12/2019
Last Update Date: 03/24/2025

Medicare PECOS Information:

PECOS PAC ID: 0042610347
Enrollment ID: I20210608001736

Medical Identifiers

Medical identifiers for Carla L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013555770	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904015665 (Virginia)	Secondary
1041C0700X	Social Worker - Clinical	6776 (Tennessee)	Primary

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. Carla L Jackson allows following entities to bill medicare on her behalf.

Entity Name	Revida Recovery Centers Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013483486 PECOS PAC ID: 1153657473 Enrollment ID: O20190724003393

Entity Name	Savida Health, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861118846 PECOS PAC ID: 4082809967 Enrollment ID: O20221228001386

Entity Name	Mental Health Specialty Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20250206000878

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. Carla L 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 Address	Practice Location Address
Carla L Jackson, LCSW 2911 Essary Dr Ste 200, Knoxville, TN 37918-2469 Ph: (865) 371-8101	Carla L Jackson, LCSW 2911 Essary Dr Ste 200, Knoxville, TN 37918-2469 Ph: (865) 371-8101

Reviews and Comments

Social Worker in Knoxville, TN

Hilary S Haverkamp, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909 Phone: 865-588-3173
Emma Eidson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 Arthur St, Knoxville, TN 37921 Phone: 865-532-8695
Hailey Schorsch, MS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6216 Lonas Dr, Knoxville, TN 37909 Phone: 865-951-1029
Riann Joan-garbett Proctor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 Stone Pony Ln, Knoxville, TN 37919 Phone: 319-270-7775
Holly Holmes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 Mabry Hood Rd, Knoxville, TN 37922 Phone: 865-982-5225
Mr. Gerald Leonard Fried, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6231 Highland Place Way Ste 101, Knoxville, TN 37919 Phone: 865-264-2400 Fax: 865-588-6406

Carla L Jackson, LCSW - Medicare Clinical Social Worker in Knoxville, TN