Sarah C Jackson in Colonial Heights - Clinical

Sarah C Jackson - NPI 1336172287

Sarah C Jackson is a Clinical in Colonial Heights, Virginia. Sarah C Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sarah C Jackson is 1336172287. The last update date is 2008-04-29.

Sarah C Jackson's current location address is 3660 Boulevard, Colonial Heights, Virginia. You can contact this provider via phone number 8045207210 and fax number 8045208953. The mailing address for Sarah C Jackson is 3660 Boulevard, Colonial Heights, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Sarah C Jackson
Address 3660 Boulevard, Colonial Heights, Virginia
Phone Number 8045207210
Fax Number 8045208953
Sole Proprietor N
Credentials LCSW, CSAC

NPI Number Detail

NPI Number 1336172287
Provider Enumeration Date 2006-07-07
Last Updated Date 2008-04-29

Provider Mailing Address Detail

Address 3660 Boulevard
City Colonial Heights
State Virginia (VA)
Post Code 238341345
Phone Number 8045207210
Fax Number 8045208953

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904003115
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
86361 VA SENTARA
4945280 VA --
258581 VA ANTHEM

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FAQs about Sarah C Jackson

What is the unique identifier code issued to Sarah C Jackson by the Centers for Medicare & Medicaid Services?

The Sarah C Jackson has been assigned the NPI (National Provider Identifier) 1336172287. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Sarah C Jackson is located?

The Sarah C Jackson is situated at the following address: 3660 Boulevard, Colonial Heights, VA, 238341345.

What is the area of specialization for Sarah C Jackson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Sarah C Jackson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1336172287 to Sarah C Jackson?

The Sarah C Jackson received its 1336172287 assignment from the Centers for Medicare & Medicaid Services on 2006-07-07.

When was the information regarding Sarah C Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Sarah C Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-29.

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