Kenneth David Jackson Jr, CSW is a
Social Worker based in New Orleans, Louisiana. Kenneth David Jackson Jr is licensed to practice in Louisiana (license number 17790) and his current practice location is
3901 Ulloa St, New Orleans, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(504) 267-5712.
NPI number for Kenneth David Jackson Jr is 1942674411 and his current mailing address is 3901 Ulloa St, New Orleans, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942674411.
Healthcare Provider's Profile
Full Name | Kenneth David Jackson Jr |
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Gender | Male |
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Speciality | Social Worker |
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Location | 3901 Ulloa St, New Orleans, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942674411
- Provider Enumeration Date: 11/21/2015
- Last Update Date: 05/08/2025
Medical Identifiers
Medical identifiers for Kenneth David Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942674411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 17790 (Louisiana) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
104100000X | Social Worker | 17790 (Louisiana) | 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. Kenneth David Jackson Jr 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 |
Kenneth David Jackson Jr, CSW 3901 Ulloa St, New Orleans, LA 70119-6942 Ph: (504) 267-5712 | Kenneth David Jackson Jr, CSW 3901 Ulloa St, New Orleans, LA 70119-6942 Ph: (504) 267-5712 |
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