Adrienne Michelle Jackson, LISW-CP
NPI 1992456784ActiveIndividual· Social Worker, Clinical· Blythewood, SC
Social Worker, Clinical (LISW-CP) in Blythewood, South Carolina, licensed in SC, with an NPI issued in January 2022. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1992456784 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW-CP |
| Sole proprietor | No |
| NPI issued | Jan 12, 2022 |
| Last updated in NPPES | Aug 24, 2023 |
| Certified by provider | Aug 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 16273 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ME); Practitioner - Clinical Social Worker (SC); Practitioner - Clinical Social Worker (WV) |
|---|
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