Mrs Amy Michelle Jackson, MSW, LCSW, ACSW is a
Social Worker - Clinical based in Marceline, Missouri. Mrs Amy Michelle Jackson is licensed to practice in Missouri (license number 2003024017) and her current practice location is
225 W Hayden St, Suite 210, Marceline, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 376-3200.
NPI number for Mrs Amy Michelle Jackson is 1407914328 and her current mailing address is 710 West Broadway, Brunswick, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407914328.
Healthcare Provider's Profile
Full Name | Mrs Amy Michelle Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 225 W Hayden St, Marceline, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407914328
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mrs Amy Michelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407914328 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2003024017 (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. Mrs Amy Michelle 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 |
Mrs Amy Michelle Jackson, MSW, LCSW, ACSW 710 West Broadway, Brunswick, MO 65236 Ph: (660) 634-2380 | Mrs Amy Michelle Jackson, MSW, LCSW, ACSW 225 W Hayden St, Suite 210, Marceline, MO 64658-1049 Ph: (660) 376-3200 |
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