Robin Edmund Jackson, MSW is a
Social Worker - Clinical based in Dover Afb, Delaware. Robin Edmund Jackson is licensed to practice in Virginia (license number 0904006758) and his current practice location is
300 Tuskegee Blvd, Dover Afb, Delaware. He can be reached at his office (for appointments etc.) via phone at
(302) 677-3911.
NPI number for Robin Edmund Jackson is 1154308831 and his current mailing address is 329 Magnolia Lake Ct, Aiken, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154308831.
Healthcare Provider's Profile
| Full Name | Robin Edmund Jackson |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 300 Tuskegee Blvd, Dover Afb, Delaware |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154308831
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 01/28/2026
Medical Identifiers
Medical identifiers for Robin Edmund Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154308831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | LSW-1048 (Hawaii) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904006758 (Virginia) | 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. Robin Edmund 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 |
Robin Edmund Jackson, MSW 329 Magnolia Lake Ct, Aiken, SC 29803-2655 Ph: (302) 242-8464 | Robin Edmund Jackson, MSW 300 Tuskegee Blvd, Dover Afb, DE 19902-5300 Ph: (302) 677-3911 |
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