Elisha D Jackson, LCSW is a
Social Worker - Clinical based in Long Beach, California. Elisha D Jackson is licensed to practice in California (license number LCS 26325) and her current practice location is
240 East 20th Street, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at
(562) 218-4098.
NPI number for Elisha D Jackson is 1487721817 and her current mailing address is Po Box 44417, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487721817.
Healthcare Provider's Profile
| Full Name | Elisha D Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 240 East 20th Street, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487721817
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 03/29/2011
Medical Identifiers
Medical identifiers for Elisha D Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487721817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 16946 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCS 26325 (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. Elisha D 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 Address | Practice Location Address |
|---|
Elisha D Jackson, LCSW
Po Box 44417,
Los Angeles, CA 90044-0417
Ph: (562) 218-4098 | Elisha D Jackson, LCSW
240 East 20th Street,
Long Beach, CA 90806
Ph: (562) 218-4098 |
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