Search › Louisiana › 104100000X
Angel Jackson, LMSW
NPI 1245106228 · on the registry since 2025 · sole proprietor
Practice
- Address
- 111 Medical Park Dr
Lafayette, LA 70508 - Phone
- (337) 269-5000
- Fax
- (337) 269-5001
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana