Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren Tracy Jackson, LMSW

Individual provider Social Worker · NPI 1164149076

Lauren Tracy Jackson, LMSW is a Clinical Social Worker in West Hartford, Connecticut. Qualified in 2021, 5 years ago. Practices with Mellahealth LLC, a 22-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2022
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

125 Lasalle Rd Ste 300
West Hartford, CT 06107-2311
Phone: (860) 916-5106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1164149076
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedOctober 21, 2022
Last updated in NPPESOctober 21, 2022
Certification dateOctober 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mellahealth Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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