Ms Kisha Parris Jacques, LCSW-C is a
Social Worker - Clinical based in Pasadena, Maryland. Ms Kisha Parris Jacques is licensed to practice in Maryland (license number 14567) and her current practice location is
8662 Pulpit Harbour, Pasadena, Maryland. She can be reached at her office (for appointments etc.) via phone at
(718) 772-2261.
NPI number for Ms Kisha Parris Jacques is 1306296314 and her current mailing address is 8662 Pulpit Harbour, Pasadena, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306296314.
Healthcare Provider's Profile
Full Name | Ms Kisha Parris Jacques |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8662 Pulpit Harbour, Pasadena, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306296314
- Provider Enumeration Date: 06/21/2016
- Last Update Date: 06/21/2016
Medical Identifiers
Medical identifiers for Ms Kisha Parris Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306296314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 14567 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 14567 (Maryland) | 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. Ms Kisha Parris Jacques 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 |
Ms Kisha Parris Jacques, LCSW-C 8662 Pulpit Harbour, Pasadena, MD 21122-2539 Ph: (718) 772-2261 | Ms Kisha Parris Jacques, LCSW-C 8662 Pulpit Harbour, Pasadena, MD 21122-2539 Ph: (718) 772-2261 |
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