CHARLES JACKSON


Address: 12616 Sharon Lynn Dr, Salem, OH 44460-9134
Phone: 3303377732

CHARLES JACKSON (NPI# 1174099758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174099758
Entity Type Individual
Full Name CHARLES JACKSON
Credential QMHS-H
Practice Address 12616 Sharon Lynn Dr
Salem
OH 44460-9134
Mailing Address 2000 Noble Dr
Wooster
OH 44691-5353
Practice Telephone 3303377732
Enumeration Date 2018-10-22
Last Update Date 2018-10-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers CHARLES JACKSON

NPI Name Taxonomy Address Enumeration
1457896839 Charles Jackson Counselor 2911 Penick St, Shreveport, LA 71109-4337 2016-12-21
1043655681 Charles D Jackson Driver 4856 W.12th, Suite 1, Cleveland, OH 44109-3424 2013-05-09
1437594553 Charles Jackson Social Worker 18712 Quarry St, Riverview, MI 48193-4527 2013-05-02
1508154105 Charles Gilbert Jackson Jr. Psychiatry & Neurology 88 Crescent St, Northampton, MA 01060-2115 2011-07-16
1457669848 Charles Edward Jackson Jr. Psychologist 1407 Healing Water Lane, N.las Vegas, NV 89031 2010-09-20
1588994081 Charles Dustin Jackson Counselor 5004 Nw 26th St, Oklahoma City, OK 73127-1722 2010-01-05
1508985250 Charles Arthur Jackson Jr. Chiropractor 2455 E Hill Rd, Grand Blanc, MI 48439 2007-03-27
1760535926 Charles Jackson Podiatrist 820 N Dalmont St, Hobbs, NM 88240-5214 2007-01-19
1982769840 Charles Jackson Dentist 3540 82nd St, Jackson Heights, NY 11372-5159 2006-12-22
1437224813 Charles Wesley Jackson Jr. Psychologist 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 2006-11-21

Office Location

Street Address 12616 SHARON LYNN DR
City SALEM
State OH
Zip Code 44460-9134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508963216 Sharon Lynn Dragovich Clinical Nurse Specialist 12616 Sharon Lynn Dr, Salem, OH 44460-9134 2006-09-17
1003421652 Daniel Koehler Case Manager/Care Coordinator 12616 Sharon Lynn Dr, Salem, OH 44460-9134 2020-09-10
1497363006 Kiah S Powell Case Manager/Care Coordinator 12616 Sharon Lynn Dr, Salem, OH 44460-9134 2020-07-20
1619585759 Sha'wanda Pargo Case Manager/Care Coordinator 12616 Sharon Lynn Dr, Salem, OH 44460-9134 2020-07-15
1124659461 Erin Gilmore Licensed Practical Nurse 12616 Sharon Lynn Dr, Salem, OH 44460-9134 2020-01-27
1760029490 Jacinta Taylor Case Manager/Care Coordinator 12616 Sharon Lynn Dr, Salem, OH 44460-9134 2019-12-02
1619520095 Yalonda M Robinson Case Manager/Care Coordinator 12616 Sharon Lynn Dr, Salem, OH 44460-9134 2019-07-24
1477114759 Alicia Royer Case Manager/Care Coordinator 12616 Sharon Lynn Dr, Salem, OH 44460-9134 2019-06-26
1316508971 Tina L Workman Counselor 12616 Sharon Lynn Dr, Salem, OH 44460-9134 2019-06-25
1104484179 Michelle A Petak Case Manager/Care Coordinator 12616 Sharon Lynn Dr, Salem, OH 44460-9134 2019-06-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972155257 Action Physical Therapy and Rehabilitation, Inc Physical Therapy Assistant 2311 East State Street, Salem, OH 44460 2019-07-16
1851855563 Jessica Michelle Adkins Occupational Therapy Assistant 100 Blossom Ln, Salem, OH 44460 2019-01-27
1699266981 Morgan Nicole Shivers Dentist 2951 Oh-45, Salem, OH 44460 2018-05-23
1518466580 Continental II Leasing Co., LLC Skilled Nursing Facility 230 Continental Drive, Salem, OH 44460 2018-02-06
1447759410 Continental I Leasing Co., LLC Skilled Nursing Facility 250 Continental Drive, Salem, OH 44460 2018-02-06
1912405648 Ascend Home Health Care LLC Home Health 1367 Slater Rd, Salem, OH 44460 2018-01-29
1225562572 Melissa Sue Chadbourne Occupational Therapist 7855 Pleasant Valley Ct, Salem, OH 44460 2017-04-13
1104274489 Dakota Deamicis Specialist/Technologist 7777 W. Middletown Rd, Salem, OH 44460 2016-05-27
1811312028 Denise Repella Speech-Language Pathologist 1171 Hampton Pl, Salem, OH 44460 2014-02-25
1750702338 Care4me Skilled, LLC Home Health 2400 Southeast Blvd., Suite B, Salem, OH 44460 2013-12-26
Find all providers in zip 44460

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336755586 Emma Theresa Cox Case Manager/Care Coordinator 33 Upham St Apt 3, Salem, MA 01970-2460 2020-09-22
1407475064 Yolanda Loyer Case Manager/Care Coordinator 2789 E State St Ste 7, Salem, OH 44460-9327 2020-04-14
1770121501 Stacy Bush Phillips Case Manager/Care Coordinator 1501 Mill Race Dr, Salem, VA 24153-3137 2019-12-11
1528618659 Linda Diane Pierce Case Manager/Care Coordinator 1724 Broadway St Ne, Salem, OR 97301-0509 2019-09-20
1770002271 Traci L Lee Case Manager/Care Coordinator 3876 Beverly Ave Bldg G, Salem, OR 97305 2017-09-15
1427576065 Katherine Lingmai Case Manager/Care Coordinator 1790 23rd St. Ne, Salem, OR 97301 2017-09-04
1225577240 Anjalique Benham Case Manager/Care Coordinator 5 Lancelot Ct, Apt#1, Salem, NH 03079-3555 2017-02-23
1518409762 Melissa Ward Case Manager/Care Coordinator 1380 Southside Dr, Suite 100, Salem, VA 24153 2016-11-04
1467810945 Carl Walton Kapocias Case Manager/Care Coordinator 750 Front St Ne, Salem, OR 97301-1089 2016-01-29
1215339361 Kaylor Ficklin Case Manager/Care Coordinator 188 E 300 S, Salem, UT 84653-9453 2014-09-19
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 44460

Improve Information

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Dataset Information

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.

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