Mrs Rachael Alexis Jackson, MS, MSW, LCSW is a
Social Worker - Clinical based in Portland, Oregon. Mrs Rachael Alexis Jackson is licensed to practice in Texas (license number 115304) and her current practice location is
8401 Ne Halsey St Ste 107, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 998-3584.
NPI number for Mrs Rachael Alexis Jackson is 1285992628 and her current mailing address is 209 Sw 4th Ave Ste 520, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285992628.
Healthcare Provider's Profile
Full Name | Mrs Rachael Alexis Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8401 Ne Halsey St Ste 107, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285992628
- Provider Enumeration Date: 04/23/2012
- Last Update Date: 07/25/2025
Medical Identifiers
Medical identifiers for Mrs Rachael Alexis Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285992628 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | L10943 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | L10943 (Oregon) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 115304 (Texas) | Primary |
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. Mrs Rachael Alexis Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Rachael Alexis Jackson, MS, MSW, LCSW 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 Ph: (503) 238-0769 | Mrs Rachael Alexis Jackson, MS, MSW, LCSW 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 Ph: (503) 998-3584 |
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