Sandra Jackson, LCSW is a
Marriage & Family Therapist based in Warsaw, Indiana. Sandra Jackson is licensed to practice in Indiana (license number 35000319A) and her current practice location is
2750 N Lakeview Dr, Warsaw, Indiana. She can be reached at her office (for appointments etc.) via phone at
(157) 485-8904.
NPI number for Sandra Jackson is 1326195959 and her current mailing address is 2750 N Lakeview Dr, Warsaw, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326195959.
Healthcare Provider's Profile
Full Name | Sandra Jackson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 2750 N Lakeview Dr, Warsaw, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326195959
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Sandra Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326195959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 34000694A (Indiana) | Primary |
106H00000X | Marriage & Family Therapist | 35000319A (Indiana) | 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. Sandra 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 |
Sandra Jackson, LCSW 2750 N Lakeview Dr, Warsaw, IN 46582-8408 Ph: (157) 485-8904 | Sandra Jackson, LCSW 2750 N Lakeview Dr, Warsaw, IN 46582-8408 Ph: (157) 485-8904 |
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