Lacey H Jackson is a Clinical in Christiana, Tennessee. Lacey H Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lacey H Jackson is 1710183686. The last update date is 2021-03-24.
Lacey H Jackson's current location address is 9247 New Zion Rd, Christiana, Tennessee. You can contact this provider via phone number 9312738888. The mailing address for Lacey H Jackson is 9247 New Zion Rd, Christiana, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lacey H Jackson |
|---|---|
| Address | 9247 New Zion Rd, Christiana, Tennessee |
| Phone Number | 9312738888 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1710183686 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2021-03-24 |
Provider Mailing Address Detail
| Address | 9247 New Zion Rd |
|---|---|
| City | Christiana |
| State | Tennessee (TN) |
| Post Code | 370375206 |
| Phone Number | 9312738888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7363 |
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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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What is the unique 10-digit identifier code issued to Lacey H Jackson by the Centers for Medicare & Medicaid Services?
The Lacey H Jackson has been assigned the NPI (National Provider Identifier) 1710183686 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 physical location address of Lacey H Jackson?
The Lacey H Jackson is physically situated at 9247 New Zion Rd, in the city of Christiana, state of TN, with the postal code 370375206.
What is Lacey H Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lacey H Jackson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710183686 to Lacey H Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1710183686 to Lacey H Jackson on 2007-06-26.
As of what date were the details related to Lacey H Jackson most recently updated or revised?
The information pertaining to Lacey H Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-24.