Sharon M Jackson, LCSW | |
965 Mattox Dr, Sullivan, MO 63080-2365 | |
(673) 860-6000 | |
(573) 860-6016 |
Full Name | Sharon M Jackson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 28 Years |
Location | 965 Mattox Dr, Sullivan, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851462097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 005642 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Liss And Assoc Inc | 2062461114 | 2 |
Entity Name | Liss & Assoc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457444598 PECOS PAC ID: 2062461114 Enrollment ID: O20050117000103 |
Mailing Address | Practice Location Address |
---|---|
Sharon M Jackson, LCSW 670 Mason Ridge Center Dr, Ste. 300, Saint Louis, MO 63141-8573 Ph: (573) 860-6000 | Sharon M Jackson, LCSW 965 Mattox Dr, Sullivan, MO 63080-2365 Ph: (673) 860-6000 |
Katie Dominique Sammon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 888-403-1071 | |
Christopher Lloyd Jeffrey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 | |
Aleta Diane Beaty, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 888-403-1071 | |
Brittney Renee Haymer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Progress Pkwy, Sullivan, MO 63080 Phone: 844-853-8937 |