MRS. ANDREA LATRELL JACKSON (NPI# 1225371651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225371651 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA LATRELL JACKSON |
| Credential | M.A. |
| Practice Address |
10610 N 30th St Apt. 46h Tampa FL 33612-6458 |
| Practice Telephone | 8139976288 |
| Mailing Telephone | 8139976288 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2015-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568948479 | Andrea M Jackson | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2018-07-13 |
| 1912411133 | Andrea Jackson | Licensed Practical Nurse | 52 Hillside Ave, Freeport, NY 11520-1726 | 2017-11-27 |
| 1437670114 | Andrea Jackson | Nurse Practitioner | 406 W S Jordan Pkwy, South Jordan, UT 84095-3965 | 2017-07-03 |
| 1679003099 | Andrea Jackson | Social Worker | 306 Popula Blvd, Wappingers Falls, NY 12590-5712 | 2017-06-18 |
| 1578927638 | Andrea Jackson | Licensed Practical Nurse | 1617 Woodbine Ave Se, Warren, OH 44484-4964 | 2016-04-05 |
| 1649606617 | Andrea Jeanine Jackson | Social Worker | 2036 Wood St, Muskegon, MI 49444-1153 | 2013-09-22 |
| 1124383765 | Andrea Luthelle Jackson | Counselor | 1501 Nw 34th St, Oklahoma City, OK 73118-3203 | 2012-07-10 |
| 1457622656 | Andrea Jasmine Jackson | Behavioral Analyst | 7715 Nw 48 St, Suite B360, Miami, FL 33166 | 2012-01-19 |
| 1306140876 | Andrea Bessie Jackson | Case Manager/Care Coordinator | 6030 S May Ave Apt 451, Oklahoma City, OK 73159-1410 | 2010-12-27 |
| 1578707204 | Andrea Denise Jackson | Dentist | 6912 Wade Ave, Clinton, MD 20735-2743 | 2009-04-24 |
| Street Address |
10610 N 30TH ST APT. 46H |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-6458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| 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 |
|---|---|---|---|---|
| 1578178059 | Sherry Thi Hughes | Social Worker | 419 N Pierce St Ste 107, Tampa, FL 33602-4022 | 2020-09-11 |
| 1467062109 | Vaniece Johnson | Social Worker | 12421 N Florida Ave Ste 210b, Tampa, FL 33612-4277 | 2020-08-07 |
| 1508489915 | Courtney Gowen | Social Worker | 5331 Primrose Lake Cir Ste 209, Tampa, FL 33647-3751 | 2020-05-20 |
| 1023662749 | Yohana Botero | Social Worker | 6620 North Nebraska Ave, Tampa, FL 33604 | 2019-07-31 |
| 1073165551 | Tameka Oneal | Social Worker | 610 W Waters Ave Ste B&c, Tampa, FL 33604-2951 | 2019-07-15 |
| 1689149767 | Anamarie Antonetty | Social Worker | 7111 N 9th St, Tampa, FL 33604-5043 | 2018-10-04 |
| 1184101289 | Courtney Barton | Social Worker | 13101 N. Bruce B. Downs Blvd., Tampa, FL 33612 | 2018-07-23 |
| 1912404500 | Samantha Rhea Hagan | Social Worker | 10500-university Center Dr. Ste 215, Tampa, FL 33612-6490 | 2018-04-10 |
| 1760981658 | Kathleen Marie Murray | Social Worker | 5055 S Dale Mabry Hwy Apt 323, Tampa, FL 33611-3548 | 2018-02-06 |
| 1528566379 | Madelaine Pimentel Del Sol | Social Worker | 6033 Bayside Key Dr, Tampa, FL 33615-4284 | 2018-01-26 |
| Find all providers in TAMPA | ||||
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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.