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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERTA JACKSON, LBSW

Active

ROBERTA JACKSON, LBSW is a Clinical Social Worker healthcare provider located in COLUMBIA, South Carolina. NPI 1821145137 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · COLUMBIA, SC

Registration Details

NPI Number
1821145137
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2007 (19.564693512532 yrs)
Last Updated
Jul 8, 2007
License
2120 (SC)

Practice Information

Address
2100 BULL ST
COLUMBIA, SC, 292012104
Browse SC providers · Browse ZIP 29201
Phone
8039355572
Fax
8039355566
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in COLUMBIA, SC

Name Credential NPI
LISA AMODIO LISW-CP, LCSW-R 1063415909
MRS. CAREY PILOT SAWYER LCSW 1841290442
MR. ERIK DUFOURNY MSW 1700865631
MS. BETH TROY MARIS MSW 1760450381
MRS. TONI CAROL NATRIGO-WATERS LMSW LISW CP 1083683775
MR. RAYMOND J OLSZEWSKI JR. LMSW 1922068766
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.