MRS. JACKIE MICHELLE FOURNIER (NPI# 1326157439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326157439 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE MICHELLE FOURNIER |
| Credential | MSW, LICSW |
| Practice Address |
9600 Veterans Dr Sw Tacoma WA 98493-0003 |
| Mailing Address |
10414 178th Ave E Bonney Lake WA 98391-5143 |
| Practice Telephone | 2535828440 |
| Mailing Telephone | 2534474268 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LW00009459 | WA | Behavioral Health & Social Service Providers |
| Street Address |
9600 VETERANS DR SW |
| City | TACOMA |
| State | WA |
| Zip Code | 98493-0003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418739 | Lyndel Cubberley | Nurse Practitioner | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2005-06-27 |
| 1770182453 | Karri Vierra | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-10-22 |
| 1083223788 | Brianna Bryant | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-07-28 |
| 1760007066 | Kristy Mildon | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-06-11 |
| 1184245789 | Malcolm Reed | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-05-05 |
| 1396365060 | Jordan Cannon | Audiologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-04-22 |
| 1831725258 | Ashley Brown | Student in an Organized Health Care Education/Training Program | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-03-17 |
| 1942833645 | Ashley Kristine Satter | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-02-20 |
| 1912539081 | Shanna Jeane Rea | Recreation Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-02-06 |
| 1104465251 | Tyler Ritsema | Specialist/Technologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508389032 | Alina Pechko | Optometrist | 9600 Veterans Dr Sw Bldg 6, Tacoma, WA 98493 | 2017-07-17 |
| 1720372121 | Va Hospital American Lake | Rehabilitation Hospital | 9600 Veterans Dr., Lakewood, WA 98493 | 2011-06-02 |
| 1326290305 | Margaret Elizabeth Johnston-grysho | Social Worker | 9600 Veterans Dr Sw Bldg 148, Tacoma, WA 98493 | 2008-10-21 |
| 1811195126 | Jerry J Thomas | Psychiatry & Neurology | Va Puget Sound Health Care System, American Lake Divisi, 9600 Veterans Drive Southwest, Buidling 61, Tacoma, WA 98493 | 2007-07-08 |
| 1043372873 | Tomi Thompson Dominguez | Social Worker | 9600 Veteran's Drive Sw Bldg 61 Room 136, Puget Sound Va- American Lake Division, Tacoma, WA 98493 | 2006-12-15 |
| 1669555397 | Amor G Carethers | Registered Nurse | Va Puget Sound Anerican Lake Division, 9600 Veterans Drive, Lake Wood, WA 98493 | 2006-10-24 |
| 1295818144 | Kimha Thi Vu | Registered Nurse | 9600 Veteran Dr., Lakewood, WA 98493 | 2006-10-23 |
| 1952496226 | Cathy Ann Sorem | Registered Nurse | 9600 Veterans Drive A116-r, Bldg. 61a, Room 123, Tacoma, WA 98493 | 2006-10-04 |
| 1831285527 | Ann Christine Uppenberg-liedtke | Nurse Practitioner | Puget Sound Health Care Systems, American Lake, 9600 Veterans Drive, Tacoma, WA 98493 | 2006-10-04 |
| 1972695948 | Charlene Howard | Social Worker | 9600 Veteran Drive, Tacoma, WA 98493 | 2006-09-28 |
| Find all providers in zip 98493 | ||||
| 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 |
|---|---|---|---|---|
| 1962017772 | Angela Helen Sutter | Social Worker | 3820 Fawcett Ave, Tacoma, WA 98418-6733 | 2020-09-09 |
| 1720542079 | Mellisa Duffy | Social Worker | A- 122- Social Work 9600 Veterans Drive, Tacoma, WA 98493-0001 | 2019-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1801344163 | Leah English | Social Worker | 9924b E Johnson St, Tacoma, WA 98431-0001 | 2016-09-15 |
| 1275912198 | Sarah Lawson | Social Worker | 4953 31st St Ne, Tacoma, WA 98422-2908 | 2015-05-26 |
| 1295973220 | Leann Stephens | Social Worker | 4916 Center St Ste E, Tacoma, WA 98409-2348 | 2009-01-29 |
| 1336313931 | Elza Rice | Social Worker | 5401 N 44th St, Tacoma, WA 98407-3741 | 2008-04-15 |
| 1265620884 | Gary Thomas Hiam | Social Worker | 10124 48th Ave E, Tacoma, WA 98446-4642 | 2007-10-09 |
| 1942497789 | Sara Ellen Carrillo | Social Worker | Child and Family Behavioral Health Services, 9040 Jackson Ave, Tacoma, WA 98531-0001 | 2007-09-25 |
| 1629260005 | Kristene A Harris | Social Worker | Mamc- Ahc Pom, 9040 Jackson Ave, Tacoma, WA 98431 | 2007-08-09 |
| Find all providers in TACOMA | ||||
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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.