Victoria Jackson, LCSW | |
101 King Plz Ste D, Commerce, TX 75428-3734 | |
(773) 746-3867 | |
Not Available |
Full Name | Victoria Jackson |
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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 |
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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 |
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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 Mainja, 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 | |
Lois Stevens, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2904 Sterling Hart Dr, Commerce, TX 75428 Phone: 903-886-2238 Fax: 903-886-2358 |