Latasha Jackson, is a
Social Worker based in Fairfield, California. Latasha Jackson is licensed to practice in NU (license number ) and her current practice location is
2101 Courage Dr, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(707) 784-8875.
NPI number for Latasha Jackson is 1275171829 and her current mailing address is 2101 Courage Dr, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275171829.
Healthcare Provider's Profile
| Full Name | Latasha Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2101 Courage Dr, Fairfield, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1275171829
- Provider Enumeration Date: 12/13/2019
- Last Update Date: 03/26/2024
Medical Identifiers
Medical identifiers for Latasha Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275171829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 104100000X | Social Worker | (NU) | 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. Latasha 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 |
|---|
Latasha Jackson,
2101 Courage Dr,
Fairfield, CA 94533-6717
Ph: Not Available | Latasha Jackson,
2101 Courage Dr,
Fairfield, CA 94533-6717
Ph: (707) 784-8875 |
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