Phyllis Jackson-Smith in East Point - Clinical
Phyllis Jackson-Smith - NPI 1427222041
Phyllis Jackson-Smith is a Clinical in East Point, Georgia. Phyllis Jackson-Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phyllis Jackson-Smith is 1427222041. The last update date is 2008-04-15.
Phyllis Jackson-Smith's current location address is 2995 Meadow Lark Dr, East Point, Georgia. You can contact this provider via phone number 4047627859 and fax number 4047627859. The mailing address for Phyllis Jackson-Smith is 2995 Meadow Lark Dr, East Point, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Jackson-Smith |
|---|---|
| Address | 2995 Meadow Lark Dr, East Point, Georgia |
| Phone Number | 4047627859 |
| Fax Number | 4047627859 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1427222041 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 2995 Meadow Lark Dr |
|---|---|
| City | East Point |
| State | Georgia (GA) |
| Post Code | 303444033 |
| Phone Number | 4047627859 |
| Fax Number | 4047627859 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW1122 |
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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 |
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Post Comment/ Review Below
What is the unique identifier code issued to Phyllis Jackson-Smith by the Centers for Medicare & Medicaid Services (CMS)?
The Phyllis Jackson-Smith has been assigned the NPI (National Provider Identifier) 1427222041. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Phyllis Jackson-Smith?
The Phyllis Jackson-Smith is physically situated at 2995 Meadow Lark Dr, in the city of East Point, state of GA, with the postal code 303444033.
What is Phyllis Jackson-Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phyllis Jackson-Smith is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Phyllis Jackson-Smith receive the assignment of its 1427222041 from the Centers for Medicare & Medicaid Services?
The Phyllis Jackson-Smith was issued its 1427222041 by the Centers for Medicare & Medicaid Services on 2008-04-15.
As of what date was the information regarding Phyllis Jackson-Smith, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Phyllis Jackson-Smith, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-15.
NPI Number: 1982607784
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