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IndividualActiveMedicare EnrolledCan Order/Refer

Angela Jackson

LISW-CP

Social Worker - Clinical

NPI: 1922511419Irmo, South Carolina, 29063(803) 575-0579Female

About Angela Jackson

Angela Jackson, LISW-CP, is a female healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1922511419. Angela Jackson received her medical education at OTHER, graduating in 2017.

Their primary practice is located at 1180 COLUMBIA AVE STE 101, Irmo, South Carolina 29063. Patients can reach the office at (803) 575-0579. In addition to the primary location, Angela Jackson maintains 1 additional practice location.

Angela Jackson is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Angela Jackson has been NPI-registered since 2017.

Key Metrics

Practice Locations

2

Doctor Details

Identity & Credentials

NPI Number
1922511419
Entity Type
Individual
First Name
Angela
Last Name
Jackson
Credential
LISW-CP
Gender
Female
Medical School
OTHER
Graduation Year
2017
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
1180 COLUMBIA AVE STE 101
City
Irmo
State
South Carolina
ZIP
29063-2890
Country
United States
Phone
(803) 575-0579
Fax
(803) 830-3873

Specialty & Taxonomy

Primary Specialty
Social Worker - Clinical
Classification
Social Worker
Specialization
Clinical
Taxonomy Code
1041C0700X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
1180 COLUMBIA AVE STE 101
City
IRMO
State
SC
ZIP
290632890

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Angela Jackson's NPI number?
Angela Jackson's National Provider Identifier (NPI) is 1922511419. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Angela Jackson specialize in?
Angela Jackson specializes in Social Worker - Clinical. They received their medical education at OTHER (class of 2017).
Where is Angela Jackson located?
Angela Jackson practices at 1180 COLUMBIA AVE STE 101, Irmo, South Carolina 29063. You can reach them by phone at (803) 575-0579. They also have 1 additional practice location.
Does Angela Jackson accept Medicare?
Yes, Angela Jackson is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Angela Jackson offer telehealth or virtual visits?
Angela Jackson does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Angela Jackson is 1922511419.