Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1053440081 Deactivated / Inactive NPI Female Practitioner

Phyllis Darlene Jackson , BASW

Social Worker • Memphis, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phyllis Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 05, 2007
NPI Deactivation Date June 19, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Phyllis Jackson, BASW was a registered Social Worker practicing in Memphis, TN. Throughout an active medical career spanning 11 years, Phyllis Jackson provided care at the practice location at 2150 WHITNEY AVE until profile deactivation on 2018-06-19.

Practice Location & Contact Primary Location

Practice Address

2150 Whitney Ave

Memphis, TN 381276662

Telephone 9013535440
Fax 9013535464
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
365 Specialists

Practicing in Memphis, TN (2071 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. John Pharis , MD

Psychiatry & Neurology - Psychiatry

NPI 1003946716

Doctor of Medicine (M.D.)

Ebonee Pittman , BS

Social Worker

NPI 1013172956

Bachelor of Science

Dr. Patti Jordan , PharmD

Pharmacist - Psychiatric

NPI 1023141934

Doctor of Pharmacy (Pharm.D.)

Kisha Gray

Case Manager/Care Coordinator

NPI 1023334257
Latoya Edwards , BS

Case Manager/Care Coordinator

NPI 1033328794

Bachelor of Science

Keytonia Shepard

Case Manager/Care Coordinator

NPI 1043358575

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2018

Record deactivated on June 19, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2150 WHITNEY AVE, MEMPHIS, TN 381276662 (Tel: 9013535440)

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Updated Business Mailing Address July 08, 2007

Registered at 2150 WHITNEY AVE, MEMPHIS, TN 381276662 (Tel: 9013535440)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHYLLIS JACKSON, B.A.S.W.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker

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Initial NPI Registration & Enumeration March 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053440081
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2007
Last Update: July 08, 2007
Deactivation Date: June 19, 2018

Mailing Address

2150 Whitney Ave

Memphis, TN 381276662

Phone: 9013535440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.