STEPHANIE JACKSON


Address: 32229 Schoolcraft Rd, Livonia, MI 48150-4302
Phone: 7342617530

STEPHANIE JACKSON (NPI# 1255713723) 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) 1255713723
Entity Type Individual
Full Name STEPHANIE JACKSON
Credential LBSW, QMHP, QIDP
Practice Address 32229 Schoolcraft Rd
Livonia
MI 48150-4302
Practice Telephone 7342617530
Practice Fax Number 7342614192
Mailing Telephone 7342617530
Mailing Fax Number 7342614192
Enumeration Date 2015-06-22
Last Update Date 2015-06-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 6802078258 MI Behavioral Health & Social Service Providers

Other Providers STEPHANIE JACKSON

NPI Name Taxonomy Address Enumeration
1003459934 Stephanie Denise Jackson Respite Care 22321 W Morning Glory St, Buckeye, AZ 85326-7181 2019-10-23
1821578006 Stephanie M Jackson Nurse Practitioner 1350 Market Street, 1st Floor, Lynnfield, MA 01940 2018-08-17
1427538016 Stephanie Renee Jackson Occupational Therapist 626 Colosseo Way, San Antonio, TX 78253-5687 2018-08-14
1376955294 Stephanie Jackson Behavioral Analyst 6131 Alpine Tree Ave, Las Vegas, NV 89139-6854 2014-05-27
1548601511 Stephanie Jackson Licensed Practical Nurse 39 W. Yaphank Rd., Medford, NY 11763 2013-07-08
1134461361 Stephanie K Jackson Specialist 1513 Sleepy Hollow Rd Unit A, Wenatchee, WA 98801-9132 2013-03-26
1073890828 Stephanie Jackson Massage Therapist 3172 S Gilpin St, Englewood, CO 80113-3023 2011-11-08
1013177872 Stephanie Colleen Jackson Psychiatry & Neurology 1950 Hope Valley Dr, Reno, NV 89521-3140 2008-06-13
1255512984 Stephanie Brazeal Jackson Nurse Practitioner 711 Trestle Rd, Locust Grove, GA 30248-3465 2007-11-21
1992904155 Stephanie Lynn Jackson Dentist 13521 Steelecroft Pkwy, Suite 100, Charlotte, NC 28278-7545 2007-07-17

Office Location

Street Address 32229 SCHOOLCRAFT RD
City LIVONIA
State MI
Zip Code 48150-4302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598147076 Laura Ferentine Social Worker 32229 Schoolcraft Rd, Livonia, MI 48150-4302 2015-06-22
1336655216 Ellen B Mariscal-torres Counselor 32229 Schoolcraft Rd, Livonia, MI 48150-4302 2017-12-14
1407231103 Steve Slayton Psychologist 32229 Schoolcraft Rd, Livonia, MI 48150-4302 2015-07-23
1336521475 Kim Mackniesh Social Worker 32229 Schoolcraft Rd, Livonia, MI 48150-4302 2015-06-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821622416 Alex Asa Willmarth Behavior Technician 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 2020-02-24
1679116396 Carly Steen Behavior Technician 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 2019-10-25
1821652355 Katelynn Lyon Social Worker 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 2019-04-30
1821573171 Angela Fay Specialist Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 2018-10-02
1043792989 Bethany L Hill Pharmacist 32131 Industrial Road, Livonia, MI 48150 2018-09-06
1407337835 Teena Hutson Counselor 37450 Schoolcratf, Westland, MI 48150 2018-08-23
1053804062 Chandana Raveendran Speech-Language Pathologist 35100 Ann Arbor Trl, Livonia, MI 48150 2018-06-13
1518459239 Motivated Parenting, LLC Case Management 9906 Shadyside St, Livonia, MI 48150 2018-05-30
1184138471 Shannon Anderson Counselor 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 2017-11-22
1801316724 Stephanie Levis Social Worker 32945 Indiana St, Livonia, MI 48150 2017-06-21
Find all providers in zip 48150

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538720602 Grace Elizabeth Mancina Social Worker 30130 Hathaway St, Livonia, MI 48150-3091 2019-06-27
1568029908 Felicia S Wynn Social Worker 31335 Rayburn St, Livonia, MI 48154-6200 2019-05-21
1366913485 Dwight Kelly Social Worker 37450 Schoolcraft Rd Ste 101, Livonia, MI 48150-1082 2018-12-16
1801316724 Stephanie Levis Social Worker 32945 Indiana St, Livonia, MI 48150 2017-06-21
1417324146 Felicia Maura Social Worker 18316 Middlebelt Rd., Livonia, MI 48152 2015-08-28
1598147076 Laura Ferentine Social Worker 32229 Schoolcraft Rd, Livonia, MI 48150-4302 2015-06-22
1124425251 Loretta Nesti Social Worker 19368 Laurel Dr, Livonia, MI 48152-1143 2014-12-04
1629479761 Mary O'connor Social Worker 14800 Arcola St, Livonia, MI 48154-3966 2014-09-09
1760893580 Jesse Perez Social Worker 14375 Hubbard St, Livonia, MI 48154-4133 2014-05-14
1265856587 Maria Petrides Social Worker 37799 Professional Center #106, Livonia, MI 48154-1123 2014-02-06
Find all providers in LIVONIA

Competitor

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City LIVONIA
Zip Code 48150

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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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