Keinesha Shonte Jackson, is a
Social Worker based in Washington, District Of Columbia. Keinesha Shonte Jackson is licensed to practice in District Of Columbia (license number LG200002832) and her current practice location is
208 I St Ne, Washington, District Of Columbia. She can be reached at her office (for appointments etc.) via phone at
(202) 427-8851.
NPI number for Keinesha Shonte Jackson is 1265950604 and her current mailing address is 208 I St Ne Fl 2, Washington, District Of Columbia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265950604.
Healthcare Provider's Profile
| Full Name | Keinesha Shonte Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 208 I St Ne, Washington, District Of Columbia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265950604
- Provider Enumeration Date: 09/06/2017
- Last Update Date: 07/16/2024
Medical Identifiers
Medical identifiers for Keinesha Shonte Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265950604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW91203 (California) | Secondary |
| 104100000X | Social Worker | LG200002832 (District Of Columbia) | 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. Keinesha Shonte 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 |
Keinesha Shonte Jackson, 208 I St Ne Fl 2, Washington, DC 20002-4340 Ph: (202) 427-8851 | Keinesha Shonte Jackson, 208 I St Ne, Washington, DC 20002-4340 Ph: (202) 427-8851 |
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