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Active NPI 1003521139 Individual Practitioner Female Practitioner

Stephanie Sherelle Jackson , LCSW

Social Worker - Clinical • Converse, TX

Professional Overview & Biography Verified Profile Summary

Stephanie Jackson, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Converse, TX. Practice services are available at 5515 DEVILS GATE UNIT 2 under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5515 Devils Gate Unit 2

Converse, TX 781092671

Telephone 8323622591

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Converse, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Converse, TX (12037 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
200 65 $267.00 $75.02
90837 Psychotherapy, 60 minutes
199 57 $342.71 $110.30
90832 Psychotherapy, 30 minutes
116 56 $195.00 $56.80
90791 Psychiatric diagnostic evaluation
88 86 $236.00 $125.07

Medical Specialties & State Licenses

CMS Verified: 2025-08-05
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License TX 58542

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 05, 2025

Registered at 5515 DEVILS GATE UNIT 2, CONVERSE, TX 781092671 (Tel: 8323622591)

📍
Updated Business Mailing Address August 05, 2025

Registered at 5515 DEVILS GATE UNIT 2, CONVERSE, TX 781092671 (Tel: 8323622591)

NPI Profile Active January 23, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2023

Registered at 7538 DERBY VIS, SELMA, TX 781543943 (Tel: 8323622591)

📍
Updated Business Mailing Address January 23, 2023

Registered at 7538 DERBY VIS, SELMA, TX 781543943 (Tel: 8323622591)

👤
Provider Name / Credentials Updated January 23, 2023

Recorded as STEPHANIE JACKSON, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2023

Social Worker (License #58542 in TX)

🟢
Initial NPI Registration & Enumeration January 23, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003521139
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2023
Last Update: August 05, 2025
Sole Proprietor: No

Mailing Address

5515 Devils Gate Unit 2

Converse, TX 781092671

Phone: 8323622591

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.