Marsha W Jackson

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

MARSHA W JACKSON

Doing business as

Marsha W Jackson LISW, LLC

Practice address

4500 Cooper Rd Ste 303
Blue Ash, OH 45242-5600

Phone

(513) 942-1862

NPI assigned

Mar 30, 2018

Organization subpart

No

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

Authorized official

Name

Marsha W Jackson, LISWNPI 1598934846

Title

Owner

Phone

(513) 942-1862

Specialties & licenses 1

Addresses

Other names 1

• Marsha W Jackson LISW, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marsha W. Jackson, LISW

  • Clinical Social Worker
  • Blue Ash, OH
  • NPI 1598934846
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1548765571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 COOPER RD STE 303",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425600",
            "telephone_number": "513-942-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 COOPER RD STE 303",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425600",
            "telephone_number": "513-942-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHA W JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-942-1862",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marsha W Jackson LISW, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine M Marasco, NP
• Juliette Marcello, APRN-CNP, PMHNP-BC
• Brian Milan Marek, M.D.
• Helen Marinakis, PHARMD
• Robin Marsh, LSW
• Carolyn Martin-Geiman, LSW
• Amanda Caroline Martin
• Deanna M. Martin, LPCC
• Megan Lee Martin
• Teresa Martin

• Social Worker in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.