Jackson Raynor, MSW, LICSW
NPI 1568152171 · Clinical Social Worker · Saint Paul, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Raynor, MSW, LICSW is a Clinical Social Worker provider in Saint Paul, MN (NPI 1568152171).
Provider details
- NPI number
- 1568152171
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 31487 (MN)
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
3 yrs in NPPES registry
- Profile completeness38% of score
100% 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
- 2023-05-09
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Frequently asked questions
- What is Jackson Raynor's NPI number?
- Jackson Raynor's National Provider Identifier (NPI) is 1568152171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Raynor's specialty?
- Jackson Raynor is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jackson Raynor located?
- Jackson Raynor's practice location on file with NPPES is 451 Lexington Pkwy N, Saint Paul, MN 55104-4636.
- What is Jackson Raynor's phone number?
- The practice phone number listed in the NPPES registry for Jackson Raynor is (651) 280-2310.
- Does Jackson Raynor accept Medicare?
- Jackson Raynor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackson Raynor's NPI active?
- Yes — Jackson Raynor's NPI (1568152171) is active in the NPPES registry as of the last update on 2025-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.