MEDICARE: JESSICA LYNN STRICKLAND LICSW

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	6527C	AL

General Provider Information

NPI Number	:	1891669198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN STRICKLAND LICSW

Provider Business Mailing Address
First Line	:	405 BELCHER ST
Second Line	:
City	:	CENTREVILLE
State	:	AL
Zip	:	35042-2946
Country	:	US
Telephone Number	:	205-926-2992
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 OSLO CIR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35211-5937
Country	:	US
Telephone Number	:	205-944-3944
Fax Number	:

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

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	10/01/2025

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