Adrienne Michelle Jackson, LISW-CP in Blythewood, SC

Adrienne Michelle Jackson, LISW-CP is a medicare enrolled "Social Worker - Clinical" provider in Blythewood, South Carolina. Her current practice location is 29 Flint Way, Blythewood, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 920-3946.

Adrienne Michelle Jackson is licensed to practice in South Carolina (license number 16273) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992456784.

Contact Information

	Adrienne Michelle Jackson, LISW-CP
	29 Flint Way, Blythewood, SC 29016-5827
	(803) 920-3946
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Adrienne Michelle Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	29 Flint Way, Blythewood, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992456784
Provider Enumeration Date: 01/12/2022
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 4284071960
Enrollment ID: I20240318003561

Medical Identifiers

Medical identifiers for Adrienne Michelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992456784	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	16273 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adrienne Michelle Jackson allows following entities to bill medicare on her behalf.

Entity Name	Warm Embrace Counseling Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457137283 PECOS PAC ID: 3375980055 Enrollment ID: O20240318003522

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. Adrienne Michelle Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Adrienne Michelle Jackson, LISW-CP 29 Flint Way, Blythewood, SC 29016-5827 Ph: (803) 920-3946	Adrienne Michelle Jackson, LISW-CP 29 Flint Way, Blythewood, SC 29016-5827 Ph: (803) 920-3946

Reviews and Comments

Social Worker in Blythewood, SC

Mrs. Lacresha Brumfield, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1108 Lawhorn Rd, Blythewood, SC 29016 Phone: 704-537-1022
Mrs. Tarah R Davis, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 428 Upper Forest Ln, Blythewood, SC 29016 Phone: 203-676-7009
Alana Pedigo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 817 Redden Row, Blythewood, SC 29016 Phone: 443-340-6959
Shelby Vaughn, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Summer Pines Dr, Blythewood, SC 29016 Phone: 843-614-2191
Mrs. Virginia Mccorkle Hutto, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 Gunter Cir, Blythewood, SC 29016 Phone: 803-269-0859
Latoya Gaines-plunkett, LISW-CP, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 610 Whistling Kite Ln, Blythewood, SC 29016 Phone: 719-229-1794
Anne Lauren Meyers, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 217 Westlake Farms Dr, Blythewood, SC 29016 Phone: 803-338-1666

Adrienne Michelle Jackson, LISW-CP - Medicare Clinical Social Worker in Blythewood, SC