| Sharon M Jackson, LCSW | |
|
965 Mattox Dr, Sullivan, MO 63080-2365 | |
| (673) 860-6000 | |
| (573) 860-6016 |
| Full Name | Sharon M Jackson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 30 Years |
| Location | 965 Mattox Dr, Sullivan, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851462097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005642 (Missouri) | Primary |
| Entity Name | Liss & Assoc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457444598 PECOS PAC ID: 2062461114 Enrollment ID: O20050117000103 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon M Jackson, LCSW 670 Mason Ridge Center Dr, Ste. 300, Saint Louis, MO 63141-8573 Ph: (573) 860-6000 | Sharon M Jackson, LCSW 965 Mattox Dr, Sullivan, MO 63080-2365 Ph: (673) 860-6000 |
Katie Dominique Sammon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 888-403-1071 | |
Christopher Lloyd Jeffrey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 | |
Aleta Diane Beaty, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 888-403-1071 | |
Brittney Renee Haymer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 844-853-8937 |