Erica Jackson, LCSW
Individual provider Active NPI Clinical Social Worker · Troy, VA
NPI 1538867494 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1538867494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 310 Ironhound Dr
Troy, VA 22974-4368 - Phone
- (804) 489-8442
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Virginia Commonwealth University, School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dominion Behavioral Healthcare
Practice addresses (Care Compare)
2301 N Parham Rd
Suite 5
Richmond, VA 23229-3171
Phone (804) 270-1124
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240523001368 | VA | Practitioner - Clinical Social Worker | 8325480213 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominion Behavioral Healthcare | Clinical | Current | Accepting new patients |
| Dominion Behavioral Healthcare | Current |
Accepting new patients |
Locations
2301 N Parham Rd
Ste 5
Richmond, VA 23229
Phone (804) 270-1124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
310 Ironhound Dr
Troy, VA 22974-4368
Mailing address
PO Box 28202
Richmond, VA 23228-0202
Other providers in Troy, VA
- Christopher Jordan Filipkowski
- Dawn Aimee Fisher
- Julia Hammond Green
- Kathi Taylor Hackenburg
- Dana Nichole Henry
- Tia A Jones-Mitchell
- Sinan Kamal
- Brian Kiernan
- Andrew Mikesh
- Laura Elizabeth Moyers
All providers in Troy, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.