Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SANDRA W. JACKSON, ED.D.
Active Sole ProprietorDR. SANDRA W. JACKSON, ED.D. is a Clinical Social Worker healthcare provider located in POPLAR BLUFF, Missouri. NPI 1205035003 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · POPLAR BLUFF, MO
Registration Details
- NPI Number
- 1205035003
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2007 (19.047883737044 yrs)
- Last Updated
- Jul 12, 2007
- License
-
44SC01019000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 N WESTWOOD BLVDPOPLAR BLUFF, MO, 639013318Browse MO providers · Browse ZIP 63901
- Phone
- 5737784740
- Fax
- 5737784156
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in POPLAR BLUFF, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. TAMMY R KAEMPFE | LCSW | 1194707240 |
| MRS. KAREN ELIZABETH CAMPA | LCSW/MSW | 1134103351 |
| JEFFRY T TILL | LCSW | 1598743122 |
| ROBERT A MCDONALD | LCSW | 1396723912 |
| PAULA R GATES | LCSW | 1881672400 |
| DR. CYNTHIA LAVERNE BROWN | MD, LCSW | 1972576353 |
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.