Alysa Michele Jackson in Fort Worth - Clinical
Alysa Michele Jackson - NPI 1073571428
Alysa Michele Jackson is a Clinical in Fort Worth, Texas. Alysa Michele Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alysa Michele Jackson is 1073571428. The last update date is 2016-10-10.
Alysa Michele Jackson's current location address is 3000 'j' Street,, Fort Worth, Texas. You can contact this provider via phone number 8177824002. The mailing address for Alysa Michele Jackson is 3000 'j' Street,, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alysa Michele Jackson |
|---|---|
| Address | 3000 'j' Street,, Fort Worth, Texas |
| Phone Number | 8177824002 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1073571428 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2016-10-10 |
Provider Mailing Address Detail
| Address | 3000 'j' Street, |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 76127 |
| Phone Number | 8177824002 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 75695 |
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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 identification code issued to Alysa Michele Jackson by the Centers for Medicare & Medicaid Services?
The Alysa Michele Jackson has been assigned the NPI (National Provider Identifier) 1073571428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Alysa Michele Jackson is located?
The Alysa Michele Jackson is situated at the following address: 3000 'J' Street,, Fort Worth, TX, 76127.
What is Alysa Michele Jackson's area of expertise and its corresponding taxonomy classification?
The Alysa Michele Jackson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Alysa Michele Jackson receive its 1073571428?
The Alysa Michele Jackson was issued its 1073571428 on 2006-05-03, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Alysa Michele Jackson most recently updated or revised?
The details related to Alysa Michele Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2016-10-10.