| Kim M Jackson, LSW | |
|
3737 Lander Road, Pepper Pike, OH 44124-5712 | |
| (216) 831-2255 | |
| (216) 378-3906 |
| Full Name | Kim M Jackson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3737 Lander Road, Pepper Pike, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003126699 | NPI | - | NPPES |
| 0268768 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | S.0027712 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kim M Jackson, LSW 11801 Buckeye Road, Cleveland, OH 44120-2620 Ph: (216) 831-2255 | Kim M Jackson, LSW 3737 Lander Road, Pepper Pike, OH 44124-5712 Ph: (216) 831-2255 |
Mrs. Aminah C. T. Brahim-jimenez, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Jasmine G Jordan, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Mrs. Tracey Roman Mckiernan, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-831-0638 | |
Mansi P Ng, LISW-SUPV Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Aria B Honvou, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Road, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Ms. Whitney C Jones, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 |