| Leon C Jackson, LCSW-BACS | |
|
5200 Lapalco Blvd, Suite 2, Marrero, LA 70072-4254 | |
| (504) 417-2274 | |
| Not Available |
| Full Name | Leon C Jackson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 5200 Lapalco Blvd, Marrero, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598091605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Bayou Mental Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518306000 PECOS PAC ID: 8123446887 Enrollment ID: O20201005001450 |
| Mailing Address | Practice Location Address |
|---|---|
| Leon C Jackson, LCSW-BACS 5901 Baccich St, New Orleans, LA 70122-6411 Ph: (504) 417-2274 | Leon C Jackson, LCSW-BACS 5200 Lapalco Blvd, Suite 2, Marrero, LA 70072-4254 Ph: (504) 417-2274 |
Jesse Dean Sutton, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4905 Wichers Dr, Marrero, LA 70072 Phone: 504-340-3248 Fax: 504-348-1154 | |
Kathryn Moffett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Medical Center Blvd, Marrero, LA 70072 Phone: 504-347-0777 Fax: 504-341-7240 | |
Kaija Reiss, LCSW, BAS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5001 Westbank Expressway, Marrero, LA 70072 Phone: 504-349-8708 Fax: 504-838-5714 | |
T'mea Booth, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1425 Walkertown Way, Marrero, LA 70072 Phone: 504-570-7502 | |
Ms. Barbara Polikoff, M.S.W./LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5001 Westbank Expy, Suite B, Marrero, LA 70072 Phone: 504-349-0010 Fax: 504-349-0012 | |
Margaret Haydel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 Patriot St, Marrero, LA 70072 Phone: 504-371-1318 | |
Miss Shayne Pauline Latter, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5001 Westbank Expy, Children's Unit, Marrero, LA 70072 Phone: 504-349-8749 Fax: 504-349-8768 |