Delphine Elaine Jackson, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851105932 Issued in MI

Practice address

1281 Michael Ave
Lewisville, TX 75077-3054

Phone

(616) 268-8787

NPI assigned

Aug 3, 2023

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Delphine Elaine Jackson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1821770207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 MICHAEL AVE",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750773054",
            "telephone_number": "616-268-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 MICHAEL AVE",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750773054",
            "telephone_number": "616-268-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DELPHINE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851105932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELPHINE",
            "last_name": "JACKSON",
            "middle_name": "ELAINE",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Social Worker in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.