Aquanatte Jackson, LCSW
NPI 1508145244 · Clinical Social Worker · Gary, IN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Aquanatte Jackson, LCSW is a Clinical Social Worker provider in Gary, IN (NPI 1508145244).
Provider details
- NPI number
- 1508145244
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-11
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Frequently asked questions
- What is Aquanatte Jackson's NPI number?
- Aquanatte Jackson's National Provider Identifier (NPI) is 1508145244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Aquanatte Jackson's specialty?
- Aquanatte Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Aquanatte Jackson located?
- Aquanatte Jackson's practice location on file with NPPES is 5059 Hayes St, Gary, IN 46408-4355.
- What is Aquanatte Jackson's phone number?
- The practice phone number listed in the NPPES registry for Aquanatte Jackson is (256) 797-1363.
- Does Aquanatte Jackson accept Medicare?
- Aquanatte Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Aquanatte Jackson's NPI active?
- Yes — Aquanatte Jackson's NPI (1508145244) is active in the NPPES registry as of the last update on 2025-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.