Mrs Brandi Jackson, LCSW is a
Social Worker - Clinical based in Orange Park, Florida. Mrs Brandi Jackson is licensed to practice in Florida (license number SW19231) and her current practice location is
1700 Wells Rd Ste 11, Orange Park, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 670-0810.
NPI number for Mrs Brandi Jackson is 1962157479 and her current mailing address is 194 Brentley Ln, Orange Park, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962157479.
Healthcare Provider's Profile
Full Name | Mrs Brandi Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1700 Wells Rd Ste 11, Orange Park, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962157479
- Provider Enumeration Date: 02/14/2022
- Last Update Date: 12/01/2023
Medical Identifiers
Medical identifiers for Mrs Brandi Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962157479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | SW19231 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | SW19231 (Florida) | 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. Mrs Brandi 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 |
Mrs Brandi Jackson, LCSW 194 Brentley Ln, Orange Park, FL 32065-5614 Ph: (904) 207-3207 | Mrs Brandi Jackson, LCSW 1700 Wells Rd Ste 11, Orange Park, FL 32073-2373 Ph: (904) 670-0810 |
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