MS. ALYSA MICHELE JACKSON (NPI# 1073571428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073571428 |
| Entity Type | Individual |
| Full Name | MS. ALYSA MICHELE JACKSON |
| Credential | MSW |
| Practice Address |
3000 'j' Street Federal Medical Center, Carswell Fort Worth TX 76127 |
| Mailing Address |
5425 Deer Island Dr Fort Worth TX 76179-1481 |
| Practice Telephone | 8177824002 |
| Mailing Telephone | 2548330663 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
075695 | NY | Behavioral Health & Social Service Providers |
| Street Address |
3000 'J' STREET, FEDERAL MEDICAL CENTER, CARSWELL |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942654462 | Damon A Cates | Physician Assistant | Fmc Carswell, J St Bldg 3000, Fort Worth, TX 76127 | 2016-04-21 |
| 1821332628 | Patricia Byrd | Psychologist | 3000 'j' Street, Fort Worth, TX 76127 | 2012-11-16 |
| 1992976435 | Carlos Estevez | Physical Therapist | J Street Building 3000, Naval Air Station, Fort Worth, TX 76127 | 2008-03-12 |
| 1346284064 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1880 Mlty Pky, Ft. Worth, TX 76127 | 2006-06-15 |
| 1679516330 | Texas Exchange Eye Care, L.p. | Optometrist | 1880 Military Parkway, Building 1880, Fort Worth, TX 76127 | 2006-06-13 |
| 1659366219 | Jeanette Grullon-mejia | Family Medicine | J Street, Building 3000, Fort Worth, TX 76127 | 2005-09-20 |
| 1528468444 | Luciana Ramirez | Dentist | 1711 Doolittle Ave, Fort Worth, TX 76127 | 2014-08-28 |
| 1922410554 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 1711 Doolittle Ave, Fort Worth, TX 76127 | 2014-06-02 |
| 1700126570 | Dr Buie & Associates PC | Optometrist | 1880 Military Parkway, Ft. Worth, TX 76127 | 2013-02-15 |
| 1417056664 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 1711 Doolittle Ave, Ft Worth, TX 76127 | 2006-09-22 |
| Find all providers in zip 76127 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410756 | Cowtown Counseling Pllc | Social Worker | 3270 Marys Ln, Fort Worth, TX 76116-4328 | 2020-08-31 |
| 1437762770 | Brandi Lashay Rhoden | Social Worker | 1720 Birds Eye Rd, Fort Worth, TX 76177-7548 | 2020-08-26 |
| 1063023067 | Brianna Snow | Social Worker | 2900 Race St Apt 156, Fort Worth, TX 76111-4170 | 2020-08-12 |
| 1871118745 | Raven Temeka Brown-mckinney | Social Worker | 7609 Bancroft Cir, Fort Worth, TX 76120-2491 | 2020-06-16 |
| 1356965123 | Courtney Shipp | Social Worker | 9211 Dale Lane Ct Apt 248, Fort Worth, TX 76108-2655 | 2020-06-08 |
| 1457974966 | Roberta Christine Mcknight-dupas | Social Worker | 6908 Greenlee St, Fort Worth, TX 76112-5602 | 2020-05-19 |
| 1336777010 | Renese Ann Super | Social Worker | 12333 Red Birch Ln, Fort Worth, TX 76244-4597 | 2020-03-30 |
| 1194358499 | Karen Brooks | Social Worker | 8551 Boat Club Rd Ste 115, Fort Worth, TX 76179-3674 | 2020-02-15 |
| 1851922728 | Melissa Dawn Monteiro | Social Worker | 1307 8th Ave Ste 301, Fort Worth, TX 76104-4140 | 2020-01-30 |
| 1417588369 | Ann Keith | Social Worker | 225 Casa Blanca Ave, Fort Worth, TX 76107-7720 | 2020-01-29 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76127 |
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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.