MEDICARE: CARLA L 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	1041C0700X	Clinical Social Worker	0904015665	VA
2	1041C0700X	Clinical Social Worker	6776	TN

General Provider Information

NPI Number	:	1013555770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA L JACKSON LCSW

Provider Business Mailing Address
First Line	:	2911 ESSARY DR STE 200
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-2469
Country	:	US
Telephone Number	:	865-371-8101
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 ESSARY DR STE 200
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-2469
Country	:	US
Telephone Number	:	865-371-8101
Fax Number	:

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

Provider Enumeration Date	:	12/12/2019
Last Update Date	:	03/24/2025

Similar Medicare Providers

1356699433 — DR. MARTIN PHAN EASON MD
Practice Location Address:

2911 ESSARY DR STE 200
KNOXVILLE, TN
37918-2469

Practice Phone: 865-371-8101
Practice Fax:

1528903267 — JEREMY M GARNER
Practice Location Address:

2911 ESSARY DR STE 200
KNOXVILLE, TN
37918-2469

Practice Phone: 888-961-8477
Practice Fax:

1437857828 — ALEX GARDNER NUTRITION, LLC
Practice Location Address:

6829 MOUNTAIN SHADOW DR
KNOXVILLE, TN
37918-6317

Practice Phone: 865-659-1696
Practice Fax:

1487598975 — BLACKRIDGE DENTISTRY LLC
Practice Location Address:

3720 CUNNINGHAM RD
KNOXVILLE, TN
37918-5303

Practice Phone: 865-922-7469
Practice Fax:

1942131057 — DR. RATA ROKHSHAD
Practice Location Address:

2900 TAZEWELL PIKE STE 6A
KNOXVILLE, TN
37918-1880

Practice Phone: 617-319-3955
Practice Fax:

1932030707 — MRS. SHAYLEEN KNIGHT RN, BSN
Practice Location Address:

3668 RAVEN GROVEN WAY , APT 717
KNOXVILLE, TN
37918

Practice Phone: 814-424-8773
Practice Fax:

Directions to “ CARLA L 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 © 2007-2026 (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.