Sarah C Jackson, LCSW, CSAC is a
Social Worker - Clinical based in Colonial Heights, Virginia. Sarah C Jackson is licensed to practice in Virginia (license number 0904003115) and her current practice location is
3660 Boulevard, Suite A, Colonial Heights, Virginia. She can be reached at her office (for appointments etc.) via phone at
(804) 520-7210.
NPI number for Sarah C Jackson is 1336172287 and her current mailing address is 3660 Boulevard, Suite A, Colonial Heights, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336172287.
Healthcare Provider's Profile
| Full Name | Sarah C Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3660 Boulevard, Colonial Heights, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336172287
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 04/29/2008
Medical Identifiers
Medical identifiers for Sarah C Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336172287 | NPI | - | NPPES |
| 086361 | Other | VA | SENTARA |
| 258581 | Other | VA | ANTHEM |
| 4945280 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710000240 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904003115 (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. Sarah C 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 |
|---|
Sarah C Jackson, LCSW, CSAC
3660 Boulevard, Suite A,
Colonial Heights, VA 23834-1345
Ph: (804) 520-7210 | Sarah C Jackson, LCSW, CSAC
3660 Boulevard, Suite A,
Colonial Heights, VA 23834-1345
Ph: (804) 520-7210 |
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