Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRISSA JACKSON
ActiveClinical Social Worker · CANTONMENT, FL
Registration Details
- NPI Number
- 1831757905
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2019 (6.9322406040339 yrs)
- Last Updated
- Mar 24, 2025
- License
-
25215 (MD)
Practice Information
- Address
-
3771 STEFANI RDCANTONMENT, FL, 325337795Browse FL providers · Browse ZIP 32533
- Phone
- 8506076910
- Fax
- 8506076932
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in CANTONMENT, FL
| Name | Credential | NPI |
|---|---|---|
| LYNETTE YVONNE BLEDSOE | LCSW | 1275797441 |
| MS. KATHLEEN ROBINSON VAIL | L.C.S.W. | 1114179496 |
| ANDREA BLAIR EDGAR | LCSW | 1841545357 |
| SHELIA MASSEY | — | 1932546256 |
| AMBER NICHOLE BIELLO-TAYLOR | LCSW | 1821711375 |
| MELODY SCHMUTZ | — | 1518679083 |
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.