Mr Casey Jackson, MSW, LICSW is a
Social Worker - Clinical based in Spokane, Washington. Mr Casey Jackson is licensed to practice in Washington (license number LW00004476) and his current practice location is
1124 W Riverside Ave, Suite Ll2, Spokane, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 981-9851.
NPI number for Mr Casey Jackson is 1295943496 and his current mailing address is 1124 W Riverside Ave, Suite Ll2, Spokane, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295943496.
Healthcare Provider's Profile
| Full Name | Mr Casey Jackson |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1124 W Riverside Ave, Spokane, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295943496
- Provider Enumeration Date: 05/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Casey Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295943496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00001054 (Washington) | Primary |
| 1041C0700X | Social Worker - Clinical | LW00004476 (Washington) | 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. Mr Casey 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 |
|---|
Mr Casey Jackson, MSW, LICSW
1124 W Riverside Ave, Suite Ll2,
Spokane, WA 99201-1132
Ph: (509) 981-9851 | Mr Casey Jackson, MSW, LICSW
1124 W Riverside Ave, Suite Ll2,
Spokane, WA 99201-1132
Ph: (509) 981-9851 |
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