FLUARRY DWAYNE JACKSON JR. (NPI# 1154968980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154968980 |
| Entity Type | Individual |
| Full Name | FLUARRY DWAYNE JACKSON JR. |
| Credential | LLMSW |
| Practice Address |
5068 W Campus Dr Apt G25 Allendale MI 49401-8850 |
| Practice Telephone | 2317403455 |
| Mailing Telephone | 2317403455 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801104924 | MI | Behavioral Health & Social Service Providers |
| Street Address |
5068 W CAMPUS DR APT G25 |
| City | ALLENDALE |
| State | MI |
| Zip Code | 49401-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
| 1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
| 1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
| 1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
| 1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
| 1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
| 1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
| 1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
| Find all providers in zip 49401 | ||||
| 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 |
|---|---|---|---|---|
| 1295366938 | Christen Clark | Social Worker | 11304 Edgewater Dr Ste D, Allendale, MI 49401-8499 | 2020-01-31 |
| 1669962726 | Kara Nicole Kushnir | Social Worker | 1 De Mercurio Dr Ste 2a, Allendale, NJ 07401-1737 | 2018-05-15 |
| 1972041002 | Amanda Bonan | Social Worker | 9 Powell Rd, Allendale, NJ 07401-2010 | 2017-02-09 |
| 1376847582 | Michael Robert Goldsmith | Social Worker | 10854 North Ct, Allendale, MI 49401-9773 | 2011-01-03 |
| 1558533729 | Janet Anne Bertelli | Social Worker | 74 E Allendale Ave, Allendale, NJ 07401-2017 | 2008-03-28 |
| 1649451634 | Loretta Sue Weinberg | Social Worker | 111 Trotters Ln, Allendale, NJ 07401-2032 | 2007-11-18 |
| 1518169838 | Patricia L Saul | Social Worker | 115 W Allendale Ave, Allendale, NJ 07401-1734 | 2007-05-31 |
| 1710197652 | Susan L Esserman | Social Worker | 2 Carteret Rd, Allendale, NJ 07401-1823 | 2007-05-22 |
| 1851431530 | Lore Denver Basil | Social Worker | 33 W Orchard St, Allendale, NJ 07401 | 2007-02-08 |
| 1750447413 | Eugene James Berger | Social Worker | 5 Albert Rd, Allendale, NJ 07401-1002 | 2006-12-28 |
| Find all providers in ALLENDALE | ||||
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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.