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LATISHA LASHON JACKSON MSW
NPI 1225595200
Social Worker in Conway, SC

Active since February 26, 2019
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526(843) 347-5060(843) 347-3959 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Latisha Lashon Jackson Msw NPPES

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

LATISHA LASHON JACKSON MSW (NPI 1225595200) is an individual social worker in Conway, South Carolina and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1225595200
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameLATISHA LASHON JACKSONCredential: MSW
Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903
Mailing Address164 Waccamaw Medical Park DrConway, SC 29526-8903 · (843) 347-5060 · Fax (843) 347-3959
Phone(843) 347-5060
Fax(843) 347-3959
Sole ProprietorNo
Enumeration DateFebruary 26, 2019
✔ NPI 1225595200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TAWAN BINNETTA ALSTON
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MONICA LYNN JOHNSON MSW
Social Worker
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
EMMETT MICHAEL LAMPKIN MD
Psychiatry & Neurology (Psychiatry)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JANNIE LANCE MORANT
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JOSEPH E DEKINE
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
DR. EDWARD H CONNOR PH.D.
Counselor (Professional)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
RICHARD MOORER DANTZLER
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MEGHAN NESMITH
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060

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 Latisha Jackson's NPI number?

The NPI number for Latisha Jackson is 1225595200. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Latisha Jackson located?

Latisha Jackson practices at 164 Waccamaw Medical Park Dr, Conway, SC 29526. The listed phone number is (843) 347-5060.

What is Latisha Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Latisha Jackson was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.