Fay E Jackson, LCSW, CADC is a
Social Worker - Clinical based in St. Charles, Illinois. Fay E Jackson is licensed to practice in Illinois (license number 149-010374) and her current practice location is
3140 W Route 64, St. Charles, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 587-5631.
NPI number for Fay E Jackson is 1871825984 and her current mailing address is 3140 W Route 64, St. Charles, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871825984.
Healthcare Provider's Profile
| Full Name | Fay E Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3140 W Route 64, St. Charles, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871825984
- Provider Enumeration Date: 02/01/2010
- Last Update Date: 02/01/2010
Medical Identifiers
Medical identifiers for Fay E Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871825984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14095 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149-010374 (Illinois) | 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. Fay E 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 |
Fay E Jackson, LCSW, CADC 3140 W Route 64, St. Charles, IL 60175 Ph: (630) 587-5631 | Fay E Jackson, LCSW, CADC 3140 W Route 64, St. Charles, IL 60175 Ph: (630) 587-5631 |
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