Elisha F Jackson, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

AP00944201 Issued in WV

Practice address

1824 Murdoch Ave BLDG C
Parkersburg, WV 26101-3230

Phone

(304) 916-1881

NPI assigned

Feb 14, 2018

Sex

Female

Sole proprietor

No

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.

• Pfeifer Counseling, Consulting and Training LLC

  • Professional Counselor
  • Williamstown, WV
  • NPI 1841657749

  Mental Health

  NPD (past)
• L & P Services, Inc.

  • Public Health or Welfare Agency
  • Marietta, OH
  • NPI 1942289301
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1679073977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 MOUNT VERNON AVE",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501534",
            "telephone_number": "304-674-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MURDOCH AVE BLDG C",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013230",
            "telephone_number": "304-916-1881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207D Colegate Dr",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457502363",
            "country_code": "US",
            "telephone_number": "740-376-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ELISHA",
        "middle_name": "F",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.1701334",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00944201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Isner
• Jackson Healthcare Clinic LLC
• Chasady Lynn Jackson, PRSS
• Christina Jackson, MS
• Deanna Lynn Jackson, O.D
• Felicity Dawn Jackson
• Karen Jackson
• Amber Jacob
• Lily F Jacob, MD
• Lina Jacques, M.D.

• Social Worker in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.