| Emily Jackson, LMSW | |
|
1805 Franklin St, Detroit, MI 48207-4007 | |
| (313) 806-3622 | |
| Not Available |
| Full Name | Emily Jackson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1805 Franklin St, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730927476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801097973 (Michigan) | Primary |
| Entity Name | Kingdom Living Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457194128 PECOS PAC ID: 4385185388 Enrollment ID: O20240918000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Jackson, LMSW 25570 Grand Concourse St, Southfield, MI 48075-1747 Ph: () - | Emily Jackson, LMSW 1805 Franklin St, Detroit, MI 48207-4007 Ph: (313) 806-3622 |
Mary Decarolis, LMSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-417-2769 | |
Debbie Shell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2051 W Grand Blvd, New Center Community Mental Health Services, Detroit, MI 48208 Phone: 313-961-3221 | |
Leah Welton, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 79 W Alexandrine St, Detroit, MI 48201 Phone: 313-831-5535 Fax: 313-831-2608 | |
Mrs. Sinita Hankins, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17421 Telegraph Rd, Detroit, MI 48219 Phone: 313-531-2500 | |
Yolonda Kinsey, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7310 Woodward Ave, Detroit, MI 48202 Phone: 313-896-1444 | |
Leslie Marie Wilson, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19750 Burt Rd, Detroit, MI 48219 Phone: 313-531-2500 | |
Chama Paulina Maweja, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12800 E Warren Ave, Detroit, MI 48215 Phone: 313-824-8000 |