MADELINE JACKSON (NPI# 1053925768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053925768 |
| Entity Type | Individual |
| Full Name | MADELINE JACKSON |
| Credential | BSW |
| Practice Address |
830 N Summit St Ste 2 Toledo OH 43604-1884 |
| Practice Telephone | 4196939600 |
| Mailing Telephone | 4196939600 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267009 | Madeline Elaine Jackson | Speech-Language Pathologist | 2060 Otay Lakes Rd Ste 270, Chula Vista, CA 91913-1364 | 2019-04-05 |
| 1124547047 | Madeline Ruth Jackson | Speech-Language Pathologist | 1720 University Dr S, Fargo, ND 58103-4940 | 2017-09-12 |
| Street Address |
830 N SUMMIT ST STE 2 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43604-1884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003020249 | Heather Frederick | Community/Behavioral Health | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2007-05-09 |
| 1104423144 | Emily Heider | Social Worker | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-10-02 |
| 1407462823 | Abigail Cronin | Student in an Organized Health Care Education/Training Program | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-09-21 |
| 1689285439 | Christina Crossgrove | Social Worker | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-08-14 |
| 1154932077 | Jaisha Holmes | Student in an Organized Health Care Education/Training Program | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-08-13 |
| 1659981173 | Jessica Wegert | Case Manager/Care Coordinator | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-08-10 |
| 1306456827 | Deanna Mattoni | Case Manager/Care Coordinator | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-08-10 |
| 1194334177 | Lacharles Smith | Case Manager/Care Coordinator | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-07-27 |
| 1093324071 | Jessica Stroble | Social Worker | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-07-27 |
| 1104435171 | Mario Ortiz | Social Worker | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879590 | Kaushal B Jani | Student in an Organized Health Care Education/Training Program | Saint Vincent Medical Center, 2200 Jefferson Ave, Toledo, OH 43604 | 2020-04-08 |
| 1548807316 | Jennifer Marie Bismack | Peer Specialist | 142 23rd St, Suite 911, Toledo, OH 43604 | 2019-11-29 |
| 1841849064 | Keith Allen Vore | Student in an Organized Health Care Education/Training Program | 1117 Jefferson #214, Toledo, OH 43604 | 2019-09-10 |
| 1740846765 | Mohammad Shahrukh Tanweer | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent Medical Center, 2200 Jefferson Avenue, Toledo, OH 43604 | 2019-05-15 |
| 1740846229 | Sami Al-rahman Syed | Student in an Organized Health Care Education/Training Program | Mercy Health - St. Vincent, 2200 Jefferson Ave., Toledo, OH 43604 | 2019-05-10 |
| 1306402870 | Poojitha Kolluri | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Avenue - Mercy Family Physician, Toledo, OH 43604 | 2019-05-10 |
| 1407375090 | Keyana Renee Galloway | Social Worker | 500 Madison Ave Ste 300, Toledo, OH 43604 | 2017-09-14 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1811426208 | Rosamaria Sanchez | Counselor | 701 Jefferson Ave Suite 101, Toledo, OH 43604 | 2017-06-08 |
| 1306373014 | Salwa Beydoun | Social Worker | 701 Jefferson, Toledo, OH 43604 | 2017-05-12 |
| Find all providers in zip 43604 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072815 | Brandon Thomas | Case Manager/Care Coordinator | 111 S Byrne Rd, Toledo, OH 43615-6212 | 2020-10-27 |
| 1497355952 | Allen Richardson | Case Manager/Care Coordinator | 3450 W. Central Ave., Ste 366e, Toledo, OH 43606-1416 | 2020-10-26 |
| 1881209104 | Jessica Rentner | Case Manager/Care Coordinator | 2440 South Ave, Toledo, OH 43609-1611 | 2020-09-14 |
| 1154939148 | Jennifer Lawson | Case Manager/Care Coordinator | 2283 Ashlnd Ave., Toledo, OH 43620 | 2020-07-16 |
| 1508484957 | Lucynthia Dawn Jones | Case Manager/Care Coordinator | 2910 W Central Ave, Toledo, OH 43606-7702 | 2020-07-13 |
| 1952927790 | Jarmara Anderson | Case Manager/Care Coordinator | 420 Madison Ave Ste 550, Toledo, OH 43604-1272 | 2020-06-17 |
| 1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
| 1659910784 | Mariah Marcedes Garcia Liggins | Case Manager/Care Coordinator | 500 Madison Ave Ste 500, Toledo, OH 43604-1210 | 2020-01-06 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1134764434 | Pamela Dianna Welch | Case Manager/Care Coordinator | 2928 Algonquin Pkwy Lowr, Toledo, OH 43606-3747 | 2019-11-10 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.