Individual ProviderAlrika Marie JacksonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22170 W 9 Mile Rd, Southfield, MI 48033-6007(248) 483-7804PECOS EnrollmentBased on the most recent information from CMS, provider Alrika Marie Jackson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1053958470Provider TypeIndividualFull NameJackson, Alrika MarieCredentialLLMSWGenderFemaleSole ProprietorNoEnumeration Date12/4/2019Last Updated1/24/2024Contact InformationPractice LocationPractice Address22170 W 9 Mile Rd, Southfield, MI 48033-6007Phone(248) 483-7804FaxUnlisted FaxMailing LocationMailing Address22170 W 9 Mile Rd, Southfield, MI 48033-6007Phone(248) 483-7804FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6851106234MichiganCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer