Sherika Marchelle Jackson, LCSW, LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-21142 Issued in AZ

Practice address

314 E Thomas Rd
Phoenix, AZ 85012-3202

Phone

(480) 853-5514

NPI assigned

Mar 8, 2013

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Health Services, Inc

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1861128613
  NPD

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1871834267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 WARPERS LN",
            "address_2": "STE 207",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297152087",
            "telephone_number": "704-612-0566",
            "fax_number": "704-498-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123202",
            "telephone_number": "480-853-5514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7925 N Tryon St",
            "address_2": "Ste 207",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623408",
            "country_code": "US",
            "telephone_number": "704-612-0566 x105",
            "fax_number": "704-498-4846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHERIKA",
        "middle_name": "MARCHELLE",
        "name_prefix": "Miss",
        "credential": "LCSW, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009154",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-21142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul D Jackson, LCSW
• Regula R. Jackson, CNM, OB-GYN NP
• Rick Jackson
• Robert Lee Knapp Jackson
• Sam Jackson, M.D.
• Takira C. Jackson, LAC
• Tonie Jonee Jackson
• Toniyah Vernae Jackson
• Tonya L. Jackson
• Jacksons Youth and Family Service

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.