Jackson, Marsha W.

Jackson, Marsha W. is an individual health care provider with primary practice located at 4500 Cooper Rd Ste 303 , Blue Ash OH 45242-5600. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Marsha W. can be contacted via phone (513) 940-7175.

Contact Information

Primary practice address
4500 Cooper Rd Ste 303 Blue Ash OH 45242-5600
Phone: (513) 940-7175
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 0009123 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0009123 Ohio

Profile Details

NPI number 1598934846
LBN Legal business name Jackson, Marsha W.
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2008
Last updated Nov 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598934846 NPPES
Ohio MEDICAID 0305497

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