Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VADA JACKSON, LISW
Active Sole ProprietorVADA JACKSON, LISW is a Clinical Social Worker healthcare provider located in SHARONVILLE, Ohio. NPI 1356703029 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SHARONVILLE, OH
Registration Details
- NPI Number
- 1356703029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2016 (10.373458009056 yrs)
- Last Updated
- Mar 22, 2016
- License
-
I 1502383 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11156 CANAL RDSHARONVILLE, OH, 452415815Browse OH providers · Browse ZIP 45241
- Phone
- 5137726626
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SHARONVILLE, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. JOANIE R.F. GRUBER | MA, MSW, LISW | 1972680395 |
| AMANDA MEYER | LISW | 1861809659 |
| EMILY STAPF | — | 1518500024 |
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.