Moneefah Jackson, LSW, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61640278 Issued in WA

Practice address

100 N Howard St Ste W
Spokane, WA 99201-0508

Phone

(610) 972-0405

NPI assigned

Feb 23, 2015

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.

• A New Day- Family Behavioral Health Servcies,LLC

  • Social Worker
  • Easton, PA
  • NPI 1548895592
  NPD Authorized official
• Ascend Counseling Services, Inc.

  • Social Worker
  • Easton, PA
  • NPI 1417710518
  NPD Authorized official
• New Day- in Home Treatment & Supportive Services, Inc.

  • Community/Behavioral Health Agency
  • Easton, PA
  • NPI 1861012254
  NPD Authorized official

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1083006399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "610-972-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "610-972-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 E Nesquehoning St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180426753",
            "country_code": "US",
            "telephone_number": "610-972-0405",
            "fax_number": "610-438-1636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MONEEFAH",
        "name_prefix": "Ms.",
        "credential": "LSW, LSWAIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61640278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Jackson
• Frank Kenneth Jackson, D.O.
• Joshua K Jackson
• Kari Jackson
• Kaylee Marie Jackson
• Roberta A Jackson, CCC-SLP
• Robin Dorothy Jackson, LMP,LST
• Sharon Jackson, SUDP
• Taylor Joel Jackson, PHARM.D.
• Sera Ann Jacob, DO

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.