What is Latisha Jackson's NPI number?

Latisha Jackson's National Provider Identifier (NPI) is 1225595200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Latisha Jackson's specialty?

Latisha Jackson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Latisha Jackson located?

Latisha Jackson's practice location on file with NPPES is 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903.

What is Latisha Jackson's phone number?

The practice phone number listed in the NPPES registry for Latisha Jackson is (843) 347-5060.

Is Latisha Jackson's NPI active?

Yes — Latisha Jackson's NPI (1225595200) is active in the NPPES registry as of the last update on 2019-02-26.

IndividualActive

Latisha Jackson, MSW

NPI 1225595200 · Social Worker · Conway, SC

Latisha Jackson, MSW is a Social Worker provider in Conway, SC (NPI 1225595200).

Provider details

NPI number: 1225595200
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Credential: MSW
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Social WorkerPrimary104100000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

164 Waccamaw Medical Park Dr

Conway, SC 29526-8903

Phone: (843) 347-5060

Fax: (843) 347-3959

Street-level locationGet directions

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Mailing address