Latoya Jackson, LCSW in Decatur, GA - Medicare Social Worker Provider

Latoya Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Decatur, Georgia. Her current practice location is 1670 Clairmont Rd, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 321-6111.

Latoya Jackson is licensed to practice in Georgia (license number CSW006885) 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 1215527866.

Contact Information

	Latoya Jackson, LCSW
	1670 Clairmont Rd, Decatur, GA 30033-4004
	(404) 321-6111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Latoya Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	1670 Clairmont Rd, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215527866
Provider Enumeration Date: 01/18/2021
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2567839129
Enrollment ID: I20221110002080

Medical Identifiers

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

Identifier	Type	State	Issuer
1215527866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW006885 (Georgia)	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. Latoya Jackson allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747

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. Latoya 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
Latoya Jackson, LCSW 83 Overlook Heights Way, Stockbridge, GA 30281-6016 Ph: (678) 215-8788	Latoya Jackson, LCSW 1670 Clairmont Rd, Decatur, GA 30033-4004 Ph: (404) 321-6111

Reviews and Comments

Social Worker in Decatur, GA

Mr. Clifton Hatcherson Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Winn Way, 5247 Running Doe Drive, Decatur, GA 30030 Phone: 404-289-8445 Fax: 404-298-8288
Mrs. Julia Narciss Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Trinity Pl, Decatur, GA 30030 Phone: 404-378-2300 Fax: 404-378-2394
Lionel J Smith, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745
Natasha Vayner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Trinity Pl, Decatur, GA 30030 Phone: 404-210-0569
Pearla Duncan Wall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2784 N Decatur Rd, Ste 145, Decatur, GA 30033 Phone: 404-292-2664 Fax: 404-292-2835
Mrs. Susan Mccarthy Strickland, PHD, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 S Columbia Dr, Decatur, GA 30030 Phone: 770-601-4086
Quintele Stanback-garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Social Worker Purple Clinic, Decatur, GA 30033 Phone: 404-321-6111

Latoya Jackson, LCSW - Medicare Clinical Social Worker in Decatur, GA