Diana Jackson-whitfield, MA/LBSW is a
Social Worker based in Grand Rapids, Michigan. Diana Jackson-whitfield is licensed to practice in Michigan (license number 6802065185) and her current practice location is
790 Fuller Ave Ne, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 336-3909.
NPI number for Diana Jackson-whitfield is 1649663196 and her current mailing address is 790 Fuller Ave Ne, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649663196.
Healthcare Provider's Profile
Full Name | Diana Jackson-whitfield |
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Gender | Female |
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Speciality | Social Worker |
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Location | 790 Fuller Ave Ne, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649663196
- Provider Enumeration Date: 03/09/2015
- Last Update Date: 03/09/2015
Medical Identifiers
Medical identifiers for Diana Jackson-whitfield such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649663196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6802065185 (Michigan) | Secondary |
104100000X | Social Worker | 6802065185 (Michigan) | 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. Diana Jackson-whitfield 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 |
Diana Jackson-whitfield, MA/LBSW 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 Ph: (616) 336-3909 | Diana Jackson-whitfield, MA/LBSW 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 Ph: (616) 336-3909 |
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