Ms Kwajera Zakiyah Jackson, MSW, LCSW-C | |
1325 Bedford Ave Unit 5704, Pikesville, MD 21282-7501 | |
(443) 272-1526 | |
Not Available |
Full Name | Ms Kwajera Zakiyah Jackson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1325 Bedford Ave Unit 5704, Pikesville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932453636 | NPI | - | NPPES |
114312300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3700C-1210 (Alabama) | Secondary |
1041C0700X | Social Worker - Clinical | 14992 (Maryland) | Primary |
Entity Name | Aspire Wellness Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780971630 PECOS PAC ID: 2961685706 Enrollment ID: O20110331000650 |
Mailing Address | Practice Location Address |
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Ms Kwajera Zakiyah Jackson, MSW, LCSW-C 1325 Bedford Ave Unit 5704, Pikesville, MD 21282-7501 Ph: (443) 272-1526 | Ms Kwajera Zakiyah Jackson, MSW, LCSW-C 1325 Bedford Ave Unit 5704, Pikesville, MD 21282-7501 Ph: (443) 272-1526 |
Latavia M Little, MSW, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17 Warren Rd Ste 25a, Pikesville, MD 21208 Phone: 443-939-5223 | |
Allison Ferdinand Lewis, LCSWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 Church Ln Ste 206, Pikesville, MD 21208 Phone: 410-303-4651 Fax: 410-303-4651 | |
Christina Simmons, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17 Warren Rd Ste 3a, Pikesville, MD 21208 Phone: 410-929-6632 | |
Janette Brown-berkey, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4030 Raleigh Rd, Pikesville, MD 21208 Phone: 410-302-8702 | |
Ms. Diane Bravmann, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4109 Winterhazel Rd, Pikesville, MD 21208 Phone: 410-585-0087 Fax: 410-585-1131 | |
Ms. Julia Ann Black, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Cliveden Rd, Pikesville, MD 21208 Phone: 410-624-9581 | |
Marquita D. Wilson, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7701 Seven Mile Ln, Pikesville, MD 21208 Phone: 410-887-1207 Fax: 410-887-1259 |