Ms Dorye Emory Jackson, LCSW is a
Counselor - Mental Health based in Norwalk, Connecticut. Ms Dorye Emory Jackson is licensed to practice in Connecticut (license number 008194) and her current practice location is
50 Washington Street, Suite 750, Norwalk, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 979-3503.
NPI number for Ms Dorye Emory Jackson is 1457854440 and her current mailing address is 458 Wire Mill Road, Stamford, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457854440.
Healthcare Provider's Profile
| Full Name | Ms Dorye Emory Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
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| Location | 50 Washington Street, Norwalk, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457854440
- Provider Enumeration Date: 03/15/2018
- Last Update Date: 03/15/2018
Medical Identifiers
Medical identifiers for Ms Dorye Emory Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457854440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | 008194 (Connecticut) | Secondary |
| 106H00000X | Marriage & Family Therapist | 008194 (Connecticut) | Secondary |
| 101YM0800X | Counselor - Mental Health | 008194 (Connecticut) | 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 Dorye Emory 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 |
|---|
Ms Dorye Emory Jackson, LCSW
458 Wire Mill Road,
Stamford, CT 06903
Ph: (203) 979-3503 | Ms Dorye Emory Jackson, LCSW
50 Washington Street, Suite 750,
Norwalk, CT 06854
Ph: (203) 979-3503 |
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