| Shereka M Jackson, LCSW | |
|
914 E Broadway, Louisville, KY 40204-1037 | |
| (502) 589-5878 | |
| (502) 589-8758 |
| Full Name | Shereka M Jackson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 914 E Broadway, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205498748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 254269 (Kentucky) | Primary |
| Entity Name | Seven Counties Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598793671 PECOS PAC ID: 1759294424 Enrollment ID: O20031110000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Shereka M Jackson, LCSW 1949 Goldsmith Ln Ste 103, Louisville, KY 40218-3096 Ph: (502) 296-4657 | Shereka M Jackson, LCSW 914 E Broadway, Louisville, KY 40204-1037 Ph: (502) 589-5878 |
Jennifer L Buckland-stern, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Dsi, 635 S. Third St., Louisville, KY 40202 Phone: 502-561-1314 Fax: 502-561-1840 | |
Julie Eifler Corbett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10101 Linn Station Rd Ste 600, Louisville, KY 40223 Phone: 502-589-8600 Fax: 502-287-0062 | |
Shaquilla N Cooper, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1828 Bolling Ave, Louisville, KY 40210 Phone: 502-536-7245 Fax: 502-963-5135 | |
Mary O'shea, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1169 Eastern Pkwy Ste 1166, Louisville, KY 40217 Phone: 502-451-8262 | |
Ms. Lisa Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8135 New Lagrange Rd, Louisville, KY 40222 Phone: 502-451-7602 | |
Ms. Elizabeth Ann Alvarado, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 S 1st St, Louisville, KY 40203 Phone: 502-585-9444 Fax: 502-585-9466 | |
David Huey Cook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 455 S 4th St Ste 842, Louisville, KY 40202 Phone: 502-584-7216 Fax: 502-585-5373 |