Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MICHELLE LORRAINE JACKSON, ASW
Active Sole ProprietorMS. MICHELLE LORRAINE JACKSON, ASW is a Social Worker healthcare provider located in SANTA ROSA, California. NPI 1083021968 is currently active in the NPPES registry. Verify at CMS.
Social Worker · SANTA ROSA, CA
Registration Details
- NPI Number
- 1083021968
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2014 (12.097854627197 yrs)
- Last Updated
- May 18, 2015
- Licenses
-
ASW59973 (CA)ASW59973 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1421 GUERNEVILLE RD STE 218SANTA ROSA, CA, 954037255Browse CA providers · Browse ZIP 95403
- Phone
- 7075767700
- Fax
- 7075767744
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Other Social Worker Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. AMY SCHAFFER | — | 1295733681 |
| MS. KIMBERLY IRENE VALADEZ | MSW | 1437263530 |
| JULIA CLARE BALDWIN | — | 1538229380 |
| CHRISTINA ANN BARASCH | — | 1255491007 |
| TIM R CROSSLEYSMITH | — | 1235290503 |
| LISA GATTIS | — | 1538220371 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.