Stephanie Sherelle Jackson, LCSW in Converse, TX - Medicare Social Worker Provider

Stephanie Sherelle Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Converse, Texas. Her current practice location is 5515 Devils Gate Unit 2, Converse, Texas. You can reach out to her office (for appointments etc.) via phone at (832) 362-2591.

Stephanie Sherelle Jackson is licensed to practice in Texas (license number 58542) 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 1003521139.

Contact Information

	Stephanie Sherelle Jackson, LCSW
	5515 Devils Gate Unit 2, Converse, TX 78109-2671
	(832) 362-2591
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Sherelle Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	5515 Devils Gate Unit 2, Converse, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003521139
Provider Enumeration Date: 01/23/2023
Last Update Date: 08/05/2025

Medicare PECOS Information:

PECOS PAC ID: 8123483633
Enrollment ID: I20230504002017

Medical Identifiers

Medical identifiers for Stephanie Sherelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003521139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	58542 (Texas)	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. Stephanie Sherelle Jackson allows following entities to bill medicare on her behalf.

Entity Name	Senior Psychological Care Sa I Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205122355 PECOS PAC ID: 5193999860 Enrollment ID: O20111114000886

Entity Name	Teatalkstherapy, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114624079 PECOS PAC ID: 9931624640 Enrollment ID: O20250415003138

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. Stephanie Sherelle 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
Stephanie Sherelle Jackson, LCSW 5515 Devils Gate Unit 2, Converse, TX 78109-2671 Ph: (832) 362-2591	Stephanie Sherelle Jackson, LCSW 5515 Devils Gate Unit 2, Converse, TX 78109-2671 Ph: (832) 362-2591

Reviews and Comments

Social Worker in Converse, TX

Armando Gomez Flores, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Peaceful Ln, Converse, TX 78109 Phone: 210-248-9077 Fax: 210-945-8489
Mr. Ricardo Aleman Jr., LCSW, LCDC-I, ACPS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7903 Hatchmere Ct, Converse, TX 78109 Phone: 726-234-9742
Crystal Young, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5643 Foppiano Loop, Converse, TX 78109 Phone: 407-694-7003
Karen Marie Christopher, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6110 Quiet Night Ln, Converse, TX 78109 Phone: 504-722-2463
Mrs. Chantelle Stoops, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7607 Gander Park, Converse, TX 78109 Phone: 210-334-1204

Stephanie Sherelle Jackson, LCSW - Medicare Clinical Social Worker in Converse, TX