Lekeesha M Miller-Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010256 Issued in NC

Practice address

11220 Elm LN Ste 203
Charlotte, NC 28277-0450

Phone

(980) 494-3340

NPI assigned

Feb 26, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Women of Power Network

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1922551183

  Clinical

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1063913838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11384 FOXHAVEN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771491",
            "telephone_number": "203-887-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ELM LN STE 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770450",
            "telephone_number": "980-494-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-JACKSON",
        "first_name": "LEKEESHA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C010256",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillie Amanda Miley-Verdy, DPT, ATC
• Beverly Nicole Milks, M.S/ED.S, NCC, LPC
• Juliana Millan, M.D.
• Diana L Millard, DMD
• Hallie Millard, RDN, LDN, CNSC
• Kimberly Miller-McDowell
• Portia M Miller-Owens
• Melissa Miller-Thuwis, FNP-C
• Andrew David Miller, DPT
• Angela Renee Miller, LCMHC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.