JACKIE L NEWSOM (NPI# 1124464318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124464318 |
| Entity Type | Individual |
| Full Name | JACKIE L NEWSOM |
| Credential | LSW |
| Practice Address |
353 N 4th Ave Ste 110 Pocatello ID 83201-6390 |
| Mailing Address |
Po Box 4908 Pocatello ID 83205-4908 |
| Practice Telephone | 2082337832 |
| Mailing Telephone | 2082361600 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LSW-32514 | ID | Behavioral Health & Social Service Providers |
| Street Address |
353 N 4TH AVE STE 110 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-6390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063587509 | Alliance Home Health of Idaho, LLC | Home Health | 353 N 4th Ave, Suite 205, Pocatello, ID 83201-6390 | 2006-11-21 |
| 1134621436 | Bmh Inc. | Surgery | 353 N 4th Ave, Pocatello, ID 83201-6390 | 2018-03-02 |
| 1740632942 | Bmh Inc | Clinic/Center | 353 N 4th Ave, Suite 102, Pocatello, ID 83201-6390 | 2016-07-12 |
| 1124448675 | Jason W Balls | Counselor | 353 N 4th Ave, Ste 110, Pocatello, ID 83201-6390 | 2014-04-23 |
| 1265862783 | Naomi Reardon | Counselor | 353 N 4th Ave, Ste 110, Pocatello, ID 83201-6390 | 2013-11-19 |
| 1598105462 | Joshua M Nielsen | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-06-25 |
| 1881034759 | Aaron S Green | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-06-25 |
| 1770929879 | Terri S Bergmeier | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-05-15 |
| 1730524885 | Chidimma Njoku | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-05-02 |
| 1326483470 | Dominee Rachelle Hall | Social Worker | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1932732906 | Teri Lee Wilske | Social Worker | 845 Barton Rd Trlr 35, Pocatello, ID 83204-1827 | 2020-02-19 |
| 1316448244 | Teresa Rae Walker | Social Worker | 151 N 3rd Ave Ste 110, Pocatello, ID 83201-6367 | 2018-02-26 |
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1982115671 | Lacey Jane Wuthrich | Social Worker | 1777 E Clark St Ste 330, Pocatello, ID 83201-3357 | 2017-10-20 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| 1437542891 | Holli Ludwig | Social Worker | 224 S Arthur Ave Ste 2, Pocatello, ID 83204-3202 | 2015-03-10 |
| 1649684119 | Yesenia Ruby Trejo | Social Worker | 118 E. Lander St., Pocatello, ID 83201 | 2014-06-12 |
| 1013257211 | Tania Kerr | Social Worker | 645 W Clark St, Pocatello, ID 83204-3141 | 2013-02-25 |
| 1720317589 | Natasha Jeanne Cutler | Social Worker | 1070 Hiline, Ste 335, Pocatello, ID 83201 | 2009-12-08 |
| Find all providers in POCATELLO | ||||
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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.