MRS. MARIA JACKSON (NPI# 1255497772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255497772 |
| Entity Type | Individual |
| Full Name | MRS. MARIA JACKSON |
| Credential | LICSW |
| Practice Address |
76 Summer St Haverhill MA 01830-5814 |
| Practice Telephone | 9785566260 |
| Practice Fax Number | 9783738223 |
| Mailing Telephone | 9785566260 |
| Mailing Fax Number | 9783738223 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2011-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
115137 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1312294 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821409020 | Maria Jackson | Social Worker | 1501 N 21st St, Harrisburg, PA 17109-3308 | 2014-05-11 |
| 1104055318 | Maria Teresa Jackson | Massage Therapist | 7455 Washington Street, 210, Las Vegas, NV 89128 | 2009-07-09 |
| 1659854503 | Maria D Jackson | Counselor | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2018-09-06 |
| 1558849075 | Maria Elena Jackson | Speech-Language Pathologist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2018-08-06 |
| 1811429905 | Maria O. Jackson | Dentist | 5330 E Mockingbird Ln Ste 120, Dallas, TX 75206-0941 | 2017-03-29 |
| 1811145907 | Maria Jackson | Occupational Therapist | 98 Starr Farm Rd, Burlington, VT 05408-1323 | 2008-09-03 |
| Street Address |
76 SUMMER ST |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01830-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261621 | Janice Funk | Legal Medicine | 76 Summer St, Haverhill, MA 01830-5814 | 2005-08-10 |
| 1316595812 | Melissa Carla Provost | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2019-08-28 |
| 1164078713 | Lori Dias | Registered Nurse | 76 Summer St, Haverhill, MA 01830-5814 | 2019-08-09 |
| 1417420811 | Wp Acquisition Sub LLC | Psychiatry & Neurology | 76 Summer St, Haverhill, MA 01830-5814 | 2019-01-08 |
| 1023580479 | Wp Acquisition Sub LLC | Clinic/Center | 76 Summer St, Haverhill, MA 01830-5814 | 2018-12-26 |
| 1750868428 | Jessica Amy Enners | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2018-07-25 |
| 1093291007 | Kimberly Shana Segal | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2018-07-12 |
| 1558854893 | Keri A Bergman | Social Worker | 76 Summer St, Haverhill, MA 01830 | 2018-06-12 |
| 1144712993 | Marisa Wegener Mccormack | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2018-06-06 |
| 1063930006 | Whittier Pavilion Inpatient Specialists Pllc | Internal Medicine | 76 Summer St, Haverhill, MA 01830-5814 | 2017-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171753 | Saint Gemma Health and Wellness Center Inc. | Clinic/Center | C/o Mary Fallavollita, 375 Main St., Haverhill, MA 01830 | 2019-12-16 |
| 1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
| 1396213633 | Michelle Flanagan | Nurse Practitioner | 600 Primrose Street, Haverhill, MA 01830 | 2018-11-05 |
| 1992281265 | Megan Lee Cahill | Social Worker | 150 Water St., Haverhill, MA 01830 | 2018-07-19 |
| 1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
| 1902269772 | Alta Marie Tusini | Pediatrics | 600 Primrose St Ste 200, Haverhill, MA 01830 | 2016-03-30 |
| 1447611199 | Joan Hatem-roy | Social Worker | 280 Merrimack Street, Suite 400, Lawrence, MA 01830 | 2016-03-09 |
| 1326431818 | Divine Home Care | Home Health | 18 Kenoza St, Haverhill, MA 01830 | 2015-03-09 |
| 1821429861 | Emmaus | Case Manager/Care Coordinator | 127 How St., Haverhill, MA 01830 | 2013-12-02 |
| 1225390362 | Larry Medolo | Homeopath | 606 Broadway Ave, Haverhill, MA 01830 | 2012-06-14 |
| Find all providers in zip 01830 | ||||
| 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 |
|---|---|---|---|---|
| 1184194821 | Janet De Leon | Social Worker | 78 Perkins Ct, Haverhill, MA 01832 | 2018-11-26 |
| 1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
| 1255816914 | Patricia J Gleason | Social Worker | 97 Lakeview Ave, Haverhill, MA 01830-2734 | 2018-09-28 |
| 1366925216 | Amanda Margaret Feeney | Social Worker | 132 Farrwood Dr, Haverhill, MA 01835-8434 | 2018-09-06 |
| 1538641022 | Nancy Morgan Lebar | Social Worker | 49 Woodland Park Dr, Haverhill, MA 01830-2266 | 2018-08-31 |
| 1477069714 | Dominique Grasso | Social Worker | 62 Brown St Ste 305, Haverhill, MA 01830-6790 | 2017-12-22 |
| 1366965212 | Alice Willa Kantor | Social Worker | 191 Merrimack St Fl 5, Haverhill, MA 01830-6112 | 2017-07-24 |
| 1275073827 | John Ruggiero | Social Worker | 76 Merrimack St # 80, Haverhill, MA 01830-6245 | 2017-03-01 |
| 1720424880 | Amy Goldfarb | Social Worker | 134 S Cross Rd, Haverhill, MA 01835-8246 | 2013-05-16 |
| 1891032207 | Joseph Cavanaugh | Social Worker | 40 Byron St, Haverhill, MA 01835-7832 | 2013-01-07 |
| Find all providers in HAVERHILL | ||||
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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.