| Julie Jackson, LCSW | |
|
1423 Oakfield Dr, Brandon, FL 33511-2801 | |
| (813) 695-3467 | |
| Not Available |
| Full Name | Julie Jackson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1423 Oakfield Dr, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669175774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW23744 (Florida) | Primary |
| Entity Name | Bay Area Neuropsychology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790023851 PECOS PAC ID: 7810142254 Enrollment ID: O20130308000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Jackson, LCSW 10335 Summer Azure Dr, Riverview, FL 33578-5812 Ph: (805) 895-1419 | Julie Jackson, LCSW 1423 Oakfield Dr, Brandon, FL 33511-2801 Ph: (813) 695-3467 |
Kelsey Paterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 | |
Mr. Michael J Mazucci-mambala, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 510 Vonderburg Dr, Suite 301, Brandon, FL 33511 Phone: 813-881-1000 | |
Ms. Cynthia Anne Fletcher, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Ashford Dr, Brandon, FL 33511 Phone: 813-662-3441 | |
Michelle Ramirez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 | |
Karen Seales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1419 Lake Lucerne Way, Brandon, FL 33511 Phone: 813-219-4551 | |
Brittany Wilson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 Fax: 813-689-8802 | |
Garrett Griffith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1032 E Brandon Blvd # 7553, Brandon, FL 33511 Phone: 850-890-7553 |