MR. THOMAS JACKSON (NPI# 1255698759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255698759 |
| Entity Type | Individual |
| Full Name | MR. THOMAS JACKSON |
| Credential | M.S.W., P-LCSW |
| Practice Address |
5240 Creed Dr Summerfield NC 27358-8284 |
| Practice Telephone | 3366861314 |
| Practice Fax Number | 3366861314 |
| Mailing Telephone | 3366861314 |
| Mailing Fax Number | 3366861314 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P006086 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NORTH CAROLINA SOCIAL WORK CERTIFICATION & LICENSURE BOARD LICEN | P006086 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463334 | Thomas Spencer Jackson | Dentist | 1507 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 2018-10-23 |
| 1851628549 | Thomas W Jackson | Dentist | 8160 Perry Hwy, Pittsburgh, PA 15237-5214 | 2009-11-17 |
| 1134380694 | Thomas Michael Jackson | Emergency Medicine | 7 Bitterroot Road, Carmen, ID 83462 | 2008-06-18 |
| 1528181666 | Thomas Burton Jackson | Psychiatry & Neurology | 41750 Rancho Las Palmas Dr Ste D2, Rancho Mirage, CA 92270-5512 | 2007-04-06 |
| 1992827398 | Thomas Jackson | Social Worker | 228 Maple St, Middlebury, VT 05753-1606 | 2007-04-04 |
| 1528117306 | Thomas Boyd Jackson | Social Worker | 5225 Baysdon Cir, Jackson Consultant Services, LLC, Indianapolis, IN 46235-6040 | 2007-01-09 |
| 1245330950 | Thomas E Jackson | Internal Medicine | 47 Maple St #205, Summit, NJ 07901 | 2006-09-23 |
| 1679590137 | Thomas W Jackson | Psychiatry & Neurology | 3010 Beard Rd., Napa, CA 94558 | 2006-07-17 |
| 1306818968 | Thomas Cozatt Jackson Jr. | Family Medicine | 470 Linden Ave, Harrodsburg, KY 40330-1871 | 2006-02-07 |
| 1154308997 | Thomas L Jackson | Specialist | 2450 N Park Dr, Columbus, IN 47203-2216 | 2005-12-22 |
| Street Address |
5240 CREED DR |
| City | SUMMERFIELD |
| State | NC |
| Zip Code | 27358-8284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124574827 | Moses Cone Physician Services, Inc. | Family Medicine | 4446 Us Highway 220 North, Suite A, Summerfield, NC 27358 | 2016-09-01 |
| 1639457344 | Kathy M Cornelius | Pharmacist | 4601 Us Hwy 220 N, Summerfield, NC 27358 | 2011-07-29 |
| 1043405459 | Lake Brandt Pharmacy Inc | Pharmacy | 1007 E Hwy 150 West, Summerfield, NC 27358 | 2007-09-10 |
| 1417176421 | Veronica Chavez Tart | Speech-Language Pathologist | 7098 Toscana Trce, Summerfield, NC 27358 | 2007-04-25 |
| 1518069921 | Kay Skow | Physical Therapist | 4446 A Us Hwy 220 North, Summerfield, NC 27358 | 2006-09-05 |
| 1043355639 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 2600 Pleasant Ridge Rd, Summerfield, NC 27358-7202 | 2007-02-21 |
| 1396031076 | John Richard White Jr. | Pharmacist | 6900 Bronco Ln, Summerfield, NC 27358-7800 | 2011-06-22 |
| 1073644589 | Michelle Marie Lesperance | Specialist/Technologist | 5401 Broadleaf Rd, Summerfield, NC 27358-7825 | 2007-03-08 |
| 1215158241 | Gregory Scott Barham | Pharmacist | 3325 Annry Dr, Summerfield, NC 27358-7906 | 2007-05-01 |
| 1396941886 | Monica Sparks Benfield | Pharmacist | 1007 Nc Highway 150 W Ste E, Summerfield, NC 27358-7925 | 2007-06-22 |
| Find all providers in zip 27358 | ||||
| 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 |
|---|---|---|---|---|
| 1811237399 | Anne Callan Cunningham | Social Worker | 8238 William Wallace Dr, Summerfield, NC 27358-9331 | 2013-02-21 |
| 1548511611 | Ann Marie Westin | Social Worker | 10935 S. U.S. Highway 441 Suite 403, Summerfield, FL 34491 | 2012-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERFIELD |
| Zip Code | 27358 |
Please comment or provide details below to improve the information on MR. THOMAS JACKSON.
| 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.