Amber Adney Jackson in Fayetteville - Clinical
Amber Adney Jackson - NPI 1912944158
Amber Adney Jackson is a Clinical in Fayetteville, Arkansas. Amber Adney Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amber Adney Jackson is 1912944158. The last update date is 2021-12-15.
Amber Adney Jackson's current location address is 528 N College Ave Ste 2, Fayetteville, Arkansas. You can contact this provider via phone number 4798569956 and fax number 8884556401. The mailing address for Amber Adney Jackson is 528 N College Ave Ste 2, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amber Adney Jackson |
|---|---|
| Address | 528 N College Ave Ste 2, Fayetteville, Arkansas |
| Phone Number | 4798569956 |
| Fax Number | 8884556401 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1912944158 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2021-12-15 |
Provider Mailing Address Detail
| Address | 528 N College Ave Ste 2 |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727013401 |
| Phone Number | 4798569956 |
| Fax Number | 8884556401 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1934-C |
|
Definition: 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, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5Y354 | AR | BLUE SHIELD PROVIDER # | |
| 747768 | BEACON HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Amber Adney Jackson by the Centers for Medicare & Medicaid Services?
The Amber Adney Jackson has been issued the NPI (National Provider Identifier) 1912944158 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Amber Adney Jackson's physical address?
The Amber Adney Jackson is physically located at 528 N College Ave Ste 2, in the city of Fayetteville, AR, with the postal code 727013401.
What is Amber Adney Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Amber Adney Jackson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Amber Adney Jackson receive its 1912944158 assignment from the Centers for Medicare & Medicaid Services?
The Amber Adney Jackson was assigned its 1912944158 by the Centers for Medicare & Medicaid Services on 2006-05-31.
As of what date were the details pertaining to Amber Adney Jackson last refreshed?
The information related to the Amber Adney Jackson, including its address, specialty, and other relevant details, was last updated on 2021-12-15.