| Carla L Jackson, LCSW | |
|
2911 Essary Dr Ste 200, Knoxville, TN 37918-2469 | |
| (865) 371-8101 | |
| Not Available |
| Full Name | Carla L Jackson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2911 Essary Dr Ste 200, Knoxville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013555770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904015665 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6776 (Tennessee) | Primary |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla L Jackson, LCSW 2911 Essary Dr Ste 200, Knoxville, TN 37918-2469 Ph: (865) 371-8101 | Carla L Jackson, LCSW 2911 Essary Dr Ste 200, Knoxville, TN 37918-2469 Ph: (865) 371-8101 |
Hilary S Haverkamp, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909 Phone: 865-588-3173 |
Austin D Chavira, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2201 Chester St, Knoxville, TN 37915 Phone: 951-404-9108 |
Emma Eidson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 Arthur St, Knoxville, TN 37921 Phone: 865-532-8695 |
Hailey Schorsch, MS Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6216 Lonas Dr, Knoxville, TN 37909 Phone: 865-951-1029 |
Riann Joan-garbett Proctor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 Stone Pony Ln, Knoxville, TN 37919 Phone: 319-270-7775 |
Mr. Gerald Leonard Fried, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6231 Highland Place Way Ste 101, Knoxville, TN 37919 Phone: 865-264-2400 Fax: 865-588-6406 |
Anna M Krichinsky, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4639 Newcom Ave, Knoxville, TN 37919 Phone: 865-588-9766 Fax: 865-588-1476 |