Michelle Antonia Jackson in Greenville - Social Worker

Michelle Antonia Jackson - NPI 1588755508

Michelle Antonia Jackson is a Social Worker in Greenville, South Carolina. Michelle Antonia Jackson practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Michelle Antonia Jackson is 1588755508. The last update date is 2007-07-08.

Michelle Antonia Jackson's current location address is 124 Mallard Street, Greenville, South Carolina. You can contact this provider via phone number 8642411040. The mailing address for Michelle Antonia Jackson is 124 Mallard Street, Greenville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Antonia Jackson
Address 124 Mallard Street, Greenville, South Carolina
Phone Number 8642411040
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1588755508
Provider Enumeration Date 2006-09-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 124 Mallard Street
City Greenville
State South Carolina (SC)
Post Code 296014046
Phone Number 8642411040
Fax Number

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Definition:
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 an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
301100 SC --

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FAQs about Michelle Antonia Jackson

What is the unique 10-digit identifier code issued to Michelle Antonia Jackson by the Centers for Medicare & Medicaid Services?

The Michelle Antonia Jackson has been assigned the NPI (National Provider Identifier) 1588755508 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Michelle Antonia Jackson is physically located?

The Michelle Antonia Jackson is physically situated at the following address: 124 Mallard Street, Greenville, SC, 296014046.

What is Michelle Antonia Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michelle Antonia Jackson is Social Worker, and the taxonomy code that categorizes this field of expertise is 104100000X.

On what date did the Michelle Antonia Jackson receive its 1588755508 assignment from the Centers for Medicare & Medicaid Services?

The Michelle Antonia Jackson was assigned its 1588755508 by the Centers for Medicare & Medicaid Services on 2006-09-27.

As of what date was the information regarding Michelle Antonia Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michelle Antonia Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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