Vada Jackson, LISW is a
Social Worker - Clinical based in Sharonville, Ohio. Vada Jackson is licensed to practice in Ohio (license number I 1502383) and his current practice location is
11156 Canal Rd, Sharonville, Ohio. He can be reached at his office (for appointments etc.) via phone at
(513) 772-6626.
NPI number for Vada Jackson is 1356703029 and his current mailing address is 1840 Fairfax Ave, Cincinnati, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356703029.
Healthcare Provider's Profile
Full Name | Vada Jackson |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 11156 Canal Rd, Sharonville, Ohio |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356703029
- Provider Enumeration Date: 03/22/2016
- Last Update Date: 03/22/2016
Medical Identifiers
Medical identifiers for Vada Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356703029 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | I 1502383 (Ohio) | 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. Vada 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 |
Vada Jackson, LISW 1840 Fairfax Ave, Cincinnati, OH 45207-1812 Ph: (513) 772-6166 | Vada Jackson, LISW 11156 Canal Rd, Sharonville, OH 45241-5815 Ph: (513) 772-6626 |
Reviews and Comments