| Stephanie C Jackson, LMSW | |
|
616 W Broad St, Linden, MI 48451-8645 | |
| (810) 936-0079 | |
| Not Available |
| Full Name | Stephanie C Jackson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 13 Years |
| Location | 616 W Broad St, Linden, Michigan |
| 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 |
|---|---|---|---|
| 1497985113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801095974 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Road2wellness Pllc | 3173979879 | 3 |
| Entity Name | Road2wellness Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811648678 PECOS PAC ID: 3173979879 Enrollment ID: O20231101002824 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie C Jackson, LMSW 616 W Broad St, Linden, MI 48451-8645 Ph: (810) 936-0079 | Stephanie C Jackson, LMSW 616 W Broad St, Linden, MI 48451-8645 Ph: (810) 936-0079 |
Hannah Elliott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14086 Tupper Lake Way, Linden, MI 48451 Phone: 913-980-0170 | |
Courtney F Remillard, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 616 W Broad St, Linden, MI 48451 Phone: 810-936-0079 | |
Taylor Lynn Eastman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 524 South St, Linden, MI 48451 Phone: 810-476-6294 | |
Faith Elizabeth Turvey, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 616 W Broad St, Linden, MI 48451 Phone: 810-936-0079 | |
Ms. Josephine Cramer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4179 Silver Lake Rd, Linden, MI 48451 Phone: 586-839-5330 | |
Joann Niedecken, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 616 W Broad St, Linden, MI 48451 Phone: 810-936-0079 Fax: 810-936-0079 |