EBONY HARVEY-JACKSON (LMSW) – Health Information Technician, NPI 1164820163
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2024-06-20. Reason: Conviction of program-related crimes (mandatory; min. 5 years).
Health Information Technician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EBONY HARVEY-JACKSON (LMSW)
19323 STANSBURY ST
DETROIT, MI 482351733
Phone: (313) 215-6395
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48235)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CLINICAL SOCIAL WORKER | MI | 90853 | Group psychotherapy | 9302 | 57 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI |
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