Titania Jackson, is a
Social Worker - Clinical based in Conroe, Texas. Titania Jackson is licensed to practice in Texas (license number 68581) and her current practice location is
610 N Loop 336 E, Conroe, Texas. She can be reached at her office (for appointments etc.) via phone at
(281) 742-1142.
NPI number for Titania Jackson is 1083079511 and her current mailing address is 115 Bacle Dr, Campti, LOUISIANA. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083079511.
Healthcare Provider's Profile
Full Name | Titania Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 610 N Loop 336 E, Conroe, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083079511
- Provider Enumeration Date: 12/29/2015
- Last Update Date: 04/17/2024
Medical Identifiers
Medical identifiers for Titania Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083079511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Louisiana) | Secondary |
1041C0700X | Social Worker - Clinical | 68581 (Texas) | 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. Titania 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 |
Titania Jackson, 115 Bacle Dr, Campti, LOUISIANA 71411 Ph: (318) 609-2776 | Titania Jackson, 610 N Loop 336 E, Conroe, TX 77301-1437 Ph: (281) 742-1142 |
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