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MARIE JACKA LISW
NPI 1134327810
Counselor - Addiction (Substance Use Disorder) in Lugoff, SC

Active since July 05, 2007
1341 OLD FIELD RD, LUGOFF, SC 29078(803) 427-3241 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marie Jacka Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE JACKA LISW (NPI 1134327810) is an individual addiction (substance use disorder) provider in Lugoff, South Carolina, licensed in South Carolina (8484) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1134327810
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARIE JACKACredential: LISW
Location Address1341 OLD FIELD RDLugoff, SC 29078-9012
Mailing Address1341 Old Field RdLugoff, SC 29078-9012 · (803) 427-3241
Phone(803) 427-3241
Sole ProprietorYes
Enumeration DateJuly 5, 2007
Last NPPES UpdateJanuary 26, 2012
✔ NPI 1134327810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in SC · 8484
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 8484 (SC)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 8484 (SC)
1341 OLD FIELD RD, Lugoff, SC 29078
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Other Identifiers 1

MedicaidAD16DOSC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Jacka's NPI number?

The NPI number for Marie Jacka is 1134327810. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Marie Jacka located?

Marie Jacka practices at 1341 Old Field Rd, Lugoff, SC 29078. The listed phone number is (803) 427-3241.

What is Marie Jacka's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marie Jacka was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.