| Victoria Jackson, LCSW | |
|
101 King Plz Ste D, Commerce, TX 75428-3734 | |
| (773) 746-3867 | |
| Not Available |
| Full Name | Victoria Jackson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 101 King Plz Ste D, Commerce, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659111342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 103434 (Texas) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Jackson, LCSW 627 Las Brisas Dr, Mesquite, TX 75149-5273 Ph: (773) 746-3867 | Victoria Jackson, LCSW 101 King Plz Ste D, Commerce, TX 75428-3734 Ph: (773) 746-3867 |
Ms. Kayla Monique Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1300 Park St Ste 5, Commerce, TX 75428 Phone: 830-400-7037 | |
Suzette K. Doescher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 King Plz Ste A, Commerce, TX 75428 Phone: 214-714-8021 Fax: 903-246-3126 | |
Amelia Anna Osei, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3315 Washington St, Commerce, TX 75428 Phone: 508-331-4089 |