Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHYLLIS JACKSON, LISW
ActivePHYLLIS JACKSON, LISW is a Social Worker healthcare provider located in SAINT LOUIS, Missouri. NPI 1891133898 is currently active in the NPPES registry. Verify at CMS.
Social Worker · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1891133898
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2013 (13.131382116931 yrs)
- Last Updated
- Jun 12, 2013
- License
-
I-06925 (NM)
Practice Information
- Address
-
12647 OLIVE BLVDSUITE 600SAINT LOUIS, MO, 631416393Browse MO providers · Browse ZIP 63141
- Phone
- 8003253982
- Fax
- 8776859880
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. VIRGINIA LEE WAGNER | MSW | 1891720561 |
| MS. JANET E HEATH | MSW | 1720004047 |
| MS. MELINDA SUE KAVANAUGH | LCSW | 1871510404 |
| PATRICK B HUMMERT | BSW | 1043233927 |
| MS. ALYSSA ANNE TRIMBLE | — | 1851315592 |
| MS. TEKA CHILDRESS | BA | 1982628368 |
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.