MR. CLARK KENT JACKSON (MSW) – Clinical Social Worker, NPI 1962508192
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. CLARK KENT JACKSON (MSW)
East 1st Avenue, Ellensburg, Kittitas County, Washington, 98926, United States
ELLENSBURG, WA 989269021
Phone: (509) 933-4803
Fax: (509) 962-2286
Type: Mailing
6, South 2nd Street, Yakima, Yakima County, Washington, 98901, United States
STE 918
YAKIMA, WA 989012632
Phone: (509) 961-8233
Fax: (509) 962-2286
Type: Location
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
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98926)
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