Latosha M Jackson, LICSW is a
Social Worker - Clinical based in Concord, New Hampshire. Latosha M Jackson is licensed to practice in New Hampshire (license number 2138) and her current practice location is
6 Chenell Dr Ste 100, Concord, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(402) 469-6899.
NPI number for Latosha M Jackson is 1477992188 and her current mailing address is 1 Hardy Rd # 128, Bedford, New Hampshire. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477992188.
Healthcare Provider's Profile
Full Name | Latosha M Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6 Chenell Dr Ste 100, Concord, New Hampshire |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477992188
- Provider Enumeration Date: 06/17/2013
- Last Update Date: 12/23/2021
Medical Identifiers
Medical identifiers for Latosha M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477992188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2108 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 1822 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 2138 (New Hampshire) | 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. Latosha M 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 |
Latosha M Jackson, LICSW 1 Hardy Rd # 128, Bedford, NH 03110-4915 Ph: (402) 469-6899 | Latosha M Jackson, LICSW 6 Chenell Dr Ste 100, Concord, NH 03301-8514 Ph: (402) 469-6899 |
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