Marian A Jackson, LCSW | |
125 N Ruby Ln, Fairview Heights, IL 62208-1926 | |
(618) 398-4226 | |
(618) 398-1759 |
Full Name | Marian A Jackson |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 48 Years |
Location | 125 N Ruby Ln, Fairview Heights, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427394485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.015627 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Preferred Behavioral Health Mso, Inc. | 7214349844 | 9 |
Entity Name | Preferred Behavioral Health Mso, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962014472 PECOS PAC ID: 7214349844 Enrollment ID: O20201223001492 |
Mailing Address | Practice Location Address |
---|---|
Marian A Jackson, LCSW 125 N Ruby Ln, Fairview Heights, IL 62208-1926 Ph: (618) 398-4226 | Marian A Jackson, LCSW 125 N Ruby Ln, Fairview Heights, IL 62208-1926 Ph: (618) 398-4226 |
Rachel Logan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 Phone: 618-310-0422 Fax: 618-226-5179 | |
Chester A Carothers Jr., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10314 Lincoln Trl Ste 106, Fairview Heights, IL 62208 Phone: 618-875-9355 Fax: 630-425-8900 | |
Jane E. Macgreevy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 141 Market Pl, Suite 206, Fairview Heights, IL 62208 Phone: 618-398-7250 Fax: 618-398-6870 | |
Ms. Catherine Atieno Awitta, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4610a N Illinois St Unit 4, Fairview Heights, IL 62208 Phone: 618-917-3336 | |
Rachel Runswick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Executive Dr Ste 200, Fairview Heights, IL 62208 Phone: 618-688-4727 | |
Jaclyn Terbrock, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Executive Dr, Fairview Heights, IL 62208 Phone: 618-688-4727 |