Individual provider

Michelle Jackson, ASW

Social Worker Clinical Social Worker

Michelle Jackson, ASW is a provider specialising in Social Worker in Santa Rosa, CA, registered under NPI 1083021968. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1421 GUERNEVILLE RD STE 218, Santa Rosa, CA 95403. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1421 GUERNEVILLE RD STE 218, Santa Rosa, CA 95403 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ASW59973 CA Social Worker primary
ASW59973 CA Clinical Social Worker

This provider holds licence ASW59973 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Social Worker covers

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. NUCC Health Care Provider Taxonomy, code 104100000X
Behavioral Health & Social Service Providers Social Worker

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
104100000X Social Worker ASW59973 CA primary
1041C0700X Clinical Social Worker Clinical ASW59973 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1083021968 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 13, 2014
Last updatedMay 18, 2015
StatusActive
Sole proprietorYes
CredentialASW
Practice address 1421 GUERNEVILLE RD STE 218
Santa Rosa, CA 95403
(707) 576-7700
Fax (707) 576-7744
Mailing address 1421 GUERNEVILLE RD
Santa Rosa, CA 95403
This record was last updated on May 18, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1083021968 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 8 3 0 2 1 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 7 3 0 2 2 9 3

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1083021968?
NPI 1083021968 is the National Provider Identifier assigned to Michelle Jackson, ASW in Santa Rosa, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Social Worker cover?
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and…
How do I contact Michelle Jackson, ASW?
The phone number on file with NPPES is (707) 576-7700, last updated May 18, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1083021968 a valid number?
Yes. 1083021968 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.