Dominique Jackson, MSW, RCSWI is a
Marriage & Family Therapist based in Midway, Florida. Dominique Jackson is licensed to practice in Florida (license number ISW22976) and her current practice location is
71 James Hinson Dr, Midway, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 405-5068.
NPI number for Dominique Jackson is 1003756354 and her current mailing address is 71 James Hinson Dr, Midway, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003756354.
Healthcare Provider's Profile
| Full Name | Dominique Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 71 James Hinson Dr, Midway, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003756354
- Provider Enumeration Date: 03/30/2026
- Last Update Date: 03/30/2026
Medical Identifiers
Medical identifiers for Dominique Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003756354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | ISW22976 (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. Dominique 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 |
Dominique Jackson, MSW, RCSWI 71 James Hinson Dr, Midway, FL 32343-2264 Ph: (850) 405-5068 | Dominique Jackson, MSW, RCSWI 71 James Hinson Dr, Midway, FL 32343-2264 Ph: (850) 405-5068 |
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