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JACKARA SHADASHA DEWALT
NPI 1376264192
Case Manager/Care Coordinator in West Columbia, SC

Active since September 09, 2022
1600 PLATT SPRINGS RD APT 34, WEST COLUMBIA, SC 29169(803) 290-0522 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jackara Shadasha Dewalt NPPES

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

JACKARA SHADASHA DEWALT (NPI 1376264192) is an individual case manager/care coordinator provider in West Columbia, South Carolina and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1376264192
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameJACKARA SHADASHA DEWALT
Location Address1600 PLATT SPRINGS RD APT 34West Columbia, SC 29169-5542
Mailing Address325 S Church StSpartanburg, SC 29306-5231 · (803) 290-0522
Phone(803) 290-0522
Sole ProprietorNo
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1376264192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1600 PLATT SPRINGS RD APT 34, West Columbia, SC 29169
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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 Jackara Dewalt's NPI number?

The NPI number for Jackara Dewalt is 1376264192. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Jackara Dewalt located?

Jackara Dewalt practices at 1600 Platt Springs Rd Apt 34, West Columbia, SC 29169. The listed phone number is (803) 290-0522.

What is Jackara Dewalt's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jackara Dewalt was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.