Jay Brian Jackson, LCSW is a
Social Worker - Clinical based in Russellville, Missouri. Jay Brian Jackson is licensed to practice in Missouri (license number 2002031992) and his current practice location is
13722 Jefferson Rd, Russellville, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 782-0145.
NPI number for Jay Brian Jackson is 1730847534 and his current mailing address is 13722 Jefferson Rd, Russellville, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730847534.
Healthcare Provider's Profile
Full Name | Jay Brian Jackson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 13722 Jefferson Rd, Russellville, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730847534
- Provider Enumeration Date: 11/30/2021
- Last Update Date: 11/30/2021
Medical Identifiers
Medical identifiers for Jay Brian Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730847534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2002031992 (Missouri) | 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. Jay Brian 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 |
Jay Brian Jackson, LCSW 13722 Jefferson Rd, Russellville, MO 65074-2006 Ph: (573) 338-2861 | Jay Brian Jackson, LCSW 13722 Jefferson Rd, Russellville, MO 65074-2006 Ph: (573) 782-0145 |
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