Ms Michelle Lorraine Jackson, ASW - Clinical Social Worker in Santa Rosa, CA

Ms Michelle Lorraine Jackson, ASW is a Social Worker based in Santa Rosa, California. Ms Michelle Lorraine Jackson is licensed to practice in California (license number ASW59973) and her current practice location is 1421 Guerneville Rd Ste 218, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at (707) 576-7700.

NPI number for Ms Michelle Lorraine Jackson is 1083021968 and her current mailing address is 1421 Guerneville Rd, Santa Rosa, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083021968.

Contact Information

Ms Michelle Lorraine Jackson, ASW
1421 Guerneville Rd Ste 218,
Santa Rosa, CA 95403-7255
(707) 576-7700
(707) 576-7744

Map and Direction




Healthcare Provider's Profile

Full NameMs Michelle Lorraine Jackson
GenderFemale
SpecialitySocial Worker
Location1421 Guerneville Rd Ste 218, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083021968
  • Provider Enumeration Date: 07/13/2014
  • Last Update Date: 05/18/2015

Medical Identifiers

Medical identifiers for Ms Michelle Lorraine Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083021968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical ASW59973 (California)Secondary
104100000XSocial Worker ASW59973 (California)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. Ms Michelle Lorraine 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 AddressPractice Location Address
Ms Michelle Lorraine Jackson, ASW
1421 Guerneville Rd,
Santa Rosa, CA 95403-7220

Ph: (707) 576-7700
Ms Michelle Lorraine Jackson, ASW
1421 Guerneville Rd Ste 218,
Santa Rosa, CA 95403-7255

Ph: (707) 576-7700

Reviews and Comments


Social Worker in Santa Rosa, CA

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Phone: 707-569-2372    

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