MEDICARE: LISA ANN JACKSON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1881233534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ANN JACKSON LCSW

Provider Business Mailing Address
First Line	:	1705 COPPERFIELD CIR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-3755
Country	:	US
Telephone Number	:	850-296-6811
Fax Number	:

Provider Business Practice Location Address
First Line	:	2834 REMINGTON GREEN CIR STE 104
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-3760
Country	:	US
Telephone Number	:	850-296-6811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2019
Last Update Date	:	12/29/2019

Similar Medicare Providers

1326687070 — COLLABORATIVE COUNSELING ASSOCIATES
Practice Location Address:

2834 REMINGTON GREEN CIR STE 104
TALLAHASSEE, FL
32308-3760

Practice Phone: 850-296-6811
Practice Fax:

1568025203 — KATARZYNA PAULINA GOLEC
Practice Location Address:

1300 MICCOSUKEE RD
TALLAHASSEE, FL
32308-5054

Practice Phone: 850-431-1155
Practice Fax:

1154092245 — ANZOLA WIGGINS
Practice Location Address:

3122 MAHAN DR STE 801-308
TALLAHASSEE, FL
32308-2500

Practice Phone: 850-570-0522
Practice Fax:

1609739325 — JA'MYAH PERKINS
Practice Location Address:

2868 MAHAN DR UNIT 25-27
TALLAHASSEE, FL
32308-5468

Practice Phone: 850-391-6060
Practice Fax:

1538022157 — TA'TYANA ALTIERI
Practice Location Address:

2868 MAHAN DR
TALLAHASSEE, FL
32308-5468

Practice Phone: 850-391-6060
Practice Fax: 850-391-6060

1568080299 — DR. HEATHER MARSHALL PHD
Practice Location Address:

2450 TIM GAMBLE PL STE 240
TALLAHASSEE, FL
32308-4384

Practice Phone: 708-789-9539
Practice Fax:

Directions to “ LISA ANN JACKSON LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.