Angela Jackson is a Irmo, South Carolina based counselor with 8 years of experience in Addiction (Substance Use Disorder) Counselor. She completed her graduation from Other in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Angela Jackson is 13959 for Social Worker in South Carolina. Her current practice location is 1180 Columbia Ave Ste 101, Irmo. Patients can book an appointment with her at 803-575-0579.
Angela Jackson is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Angela Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Angela Jackson
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Female
Credentials:
LISW-CP
Experience:
8+ years
Medical School Attended:
Other
Graduation Year:
2017
Accepts Medicare Assignment:
Yes
Practice Address:
1180 Columbia Ave Ste 101, Irmo, South Carolina, 29063-2890
Phone:
803-575-0579
Fax:
803-830-3873
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0840603346
Enrollment ID:
I20201230000290
NPI Number:
1922511419
NPI Enumeration Date:
07 Nov, 2017
NPI Last Update On:
14 Apr, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angela Jackson are as mentioned below.
License Number
Specialization
State
Status
13959
Social Worker
South Carolina
Primary
Addiction (Substance Use Disorder) Counselor
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Angela Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
SW1739
Medicaid
South Carolina
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
She does not participate in the Physician Quality Reporting System Incentive Program.
EHR
She does not participate in the Electronic Health Record Incentive Program.
MHI
She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1180 Columbia Ave Ste 101, Irmo, South Carolina
Zip:
29063-2890
Phone Number:
803-575-0579
Fax Number:
803-830-3873
Patients can reach Angela Jackson at 1180 Columbia Ave Ste 101, Irmo, South Carolina or can call to book an appointment on 803-575-0579. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.