Emily Jackson, DSW, LCSW is a
Student In An Organized Health Care Education/training Program based in Louisville, Kentucky. Emily Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
901 S 4th St, Louisville, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 289-5519.
NPI number for Emily Jackson is 1477282135 and her current mailing address is 850 Washburn Ave Apt 113, Louisville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477282135.
Healthcare Provider's Profile
| Full Name | Emily Jackson |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 901 S 4th St, Louisville, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477282135
- Provider Enumeration Date: 06/08/2022
- Last Update Date: 07/09/2026
Medical Identifiers
Medical identifiers for Emily Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477282135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LCSW00001657 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Emily Jackson, DSW, LCSW
850 Washburn Ave Apt 113,
Louisville, KY 40222-8704
Ph: (901) 493-1824 | Emily Jackson, DSW, LCSW
901 S 4th St,
Louisville, KY 40203-3205
Ph: (502) 289-5519 |
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