MISS THERESA JACKSON (NPI# 1275599367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275599367 |
| Entity Type | Individual |
| Full Name | MISS THERESA JACKSON |
| Credential | MSW, LSW |
| Practice Address |
715 Lake St Oak Park IL 60301-1422 |
| Mailing Address |
239 N Hillside Ave Hillside IL 60162-1512 |
| Practice Telephone | 7083868145 |
| Practice Fax Number | 7088486176 |
| Mailing Telephone | 7084493242 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144767906 | Theresa A Jackson | Community Health Worker | 3112 33rd St Ne, Canton, OH 44705-3869 | 2017-01-31 |
| 1104207083 | Theresa Jackson | Chore Provider | 77 E Great Lakes St Apt 303, River Rouge, MI 48218-1584 | 2015-06-16 |
| 1164818993 | Theresa Jackson | Emergency Medicine | 4629 E 13th Pl, Tulsa, OK 74112-6103 | 2015-04-08 |
| 1063832509 | Theresa Jackson | Counselor | 18 J Braden Thompson Rd, Forestdale, MA 02644-1555 | 2014-04-23 |
| 1083947592 | Theresa Michelle Jackson | Registered Nurse | 337 E 197th St, Euclid, OH 44119-1121 | 2009-09-15 |
| 1841486289 | Theresa Y Jackson | Massage Therapist | 1803 Boulevard, Jacksonville, FL 32206-4342 | 2007-09-19 |
| 1790332443 | Theresa Lynn Jackson | Dietitian, Registered | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2019-08-19 |
| 1093280422 | Theresa Jackson | Massage Therapist | 3647 Cedar Ave S, Minneapolis, MN 55407-2919 | 2018-10-12 |
| 1275021834 | Theresa E. Jackson | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2018-04-28 |
| 1568709335 | Theresa F Jackson | Pharmacist | 3550 Centerville Hwy, Snellville, GA 30039-4133 | 2013-01-13 |
| Street Address |
715 LAKE ST |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427888 | Stephen Schlesinger | Psychologist | 715 Lake St, Suite 806, Oak Park, IL 60301-1422 | 2006-04-19 |
| 1326686171 | Sofia Ana Rowan-martin | Counselor | 715 Lake St, Oak Park, IL 60301-1422 | 2019-12-11 |
| 1699317297 | Erica Patricia Negrete | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2019-10-15 |
| 1073163465 | Dialyze Direct Il LLC | Clinic/Center | 715 Lake St, Oak Park, IL 60301-1422 | 2019-09-17 |
| 1295389955 | Alison Possehl | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2019-07-30 |
| 1952881831 | Karen Escobar | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2018-08-20 |
| 1659870798 | Crystal Rose Johnson | Psychologist | 715 Lake St, Oak Park, IL 60301-1422 | 2018-02-05 |
| 1871049635 | Tara Dethmers | Advanced Practice Midwife | 715 Lake St, #273, Oak Park, IL 60301-1422 | 2016-08-31 |
| 1902359938 | Vince Murphy & Associates, P.C. | Social Worker | 715 Lake St, Suite 510, Oak Park, IL 60301-1422 | 2016-07-26 |
| 1356799514 | Tara Beyer | Counselor | 715 Lake St, Suite 800, Oak Park, IL 60301-1422 | 2016-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| 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 |
|---|---|---|---|---|
| 1285233825 | Grace Harrington | Social Worker | 1040 North Blvd Ste 225, Oak Park, IL 60301-1143 | 2020-10-24 |
| 1841806445 | Tania Grace Zubkus | Social Worker | 1010 Lake St Ste 200, Oak Park, IL 60301-1132 | 2020-09-18 |
| 1962015388 | Sonya Roseberry | Social Worker | 22010 Eastwood St, Oak Park, MI 48237-2858 | 2020-08-25 |
| 1992365324 | Jane Dumas | Social Worker | 15416 Northgate Blvd Apt 304, Oak Park, MI 48237-1241 | 2019-06-18 |
| 1629540331 | Javier Sanchez | Social Worker | 120 S Marion St Ofc 316, Oak Park, IL 60302-2809 | 2018-12-19 |
| 1306326780 | Chelsea Dozier | Social Worker | 24061 Morton St, Oak Park, MI 48237-2186 | 2018-08-15 |
| 1013494988 | Charles Donald Small | Social Worker | 23300 Greenfield Rd Ste 122, Oak Park, MI 48237-8408 | 2018-07-24 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1437670239 | Elizabeth Zigdon | Social Worker | 25900 Greenfield Rd Ste 405, Oak Park, MI 48237-1267 | 2017-06-30 |
| 1639622657 | Karen Tate | Social Worker | 25087 E Rue Versailles Dr, Apt A, Oak Park, MI 48237-4003 | 2016-07-26 |
| Find all providers in OAK PARK | ||||
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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.