SANDRA JACKSON (NPI# 1326195959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326195959 |
| Entity Type | Individual |
| Full Name | SANDRA JACKSON |
| Credential | LCSW |
| Practice Address |
2750 N Lakeview Dr Warsaw IN 46582-8408 |
| Practice Telephone | 1574858904 |
| Practice Fax Number | 1574858904 |
| Mailing Telephone | 1574858904 |
| Mailing Fax Number | 1574858904 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1041C0700X |
Social Worker Specialization: Clinical |
34000694A | IN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 35000319A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408792 | Sandra Rae Jackson | Occupational Therapy Assistant | 6308 Parkwood Pl, Amarillo, TX 79119-5003 | 2019-03-27 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1710230917 | Sandra Evans Jackson | Counselor | 1035 Director Ct, Suite C, Greenville, NC 27858-5996 | 2012-10-25 |
| 1407170665 | Sandra Marie Jackson | Marriage & Family Therapist | 6809 Indiana Ave Ste B8, Riverside, CA 92506 | 2010-03-17 |
| 1619118288 | Sandra Denise Jackson | Durable Medical Equipment & Medical Supplies | 4303 Herridge St, Houston, TX 77022-3944 | 2009-03-11 |
| 1740425735 | Sandra Renee Jackson | Physical Therapist | 4476 Winding Creek Rd, Manlius, NY 13104-2482 | 2008-12-05 |
| 1255535860 | Sandra Denise Jackson | Licensed Vocational Nurse | 708 Bond St, Copperas Cove, TX 76522-3079 | 2007-06-14 |
| 1316089840 | Sandra Gordon Jackson | Social Worker | 2121 Sage Rd Ste 180, Houston, TX 77056-4326 | 2007-02-12 |
| 1366459778 | Sandra G. Jackson | Counselor | 1900 E. Tenth Street, Alamogordo, NM 88310 | 2006-08-01 |
| 1396717286 | Sandra F Jackson | Nurse Practitioner | 23 W 37th St, Wilmington, DE 19802-2225 | 2006-02-03 |
| Street Address |
2750 N LAKEVIEW DR |
| City | WARSAW |
| State | IN |
| Zip Code | 46582-8408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669954475 | Erika Vanelle Marin | Physician Assistant | 2680 Escalade Way, Warsaw, IN 46582 | 2018-08-29 |
| 1376039909 | Apex Dental Studio, Inc | Dentist | 2528 Walton Blvd, Warsaw, IN 46582 | 2018-07-06 |
| 1386058428 | Mcarthur Mental Health Services | Counselor | 3201 E. Center St. Ext., Warsaw, IN 46582 | 2014-06-17 |
| 1558524918 | Vicki L Fisher | Hearing Instrument Specialist | 3165 E Center Street, Warsaw, IN 46582 | 2008-07-07 |
| 1881806024 | Lynn Marie Desjardins | Physical Therapist | 900 Provident, Warsaw, IN 46582 | 2007-05-03 |
| 1457575029 | Wayne Allen Hogenson | Chiropractor | 3701 E Center St, Warsaw, IN 46582 | 2007-04-12 |
| 1699718940 | Caitlin J Ryser | Obstetrics & Gynecology | 1355 Mariners Dr, Warsaw, IN 46582 | 2006-06-14 |
| 1609952993 | Hancock Regional Hospital | Skilled Nursing Facility | 2695 Sheldon Street, Warsaw, IN 46582-0000 | 2006-10-29 |
| 1063964724 | Elisa Kay Mcpherson | Dietitian, Registered | 2838 Ivywood Dr, Warsaw, IN 46582-1929 | 2016-10-28 |
| 1760551485 | Cardinal Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2501 Glad St, Warsaw, IN 46582-1946 | 2006-11-07 |
| Find all providers in zip 46582 | ||||
| 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 |
|---|---|---|---|---|
| 1972945046 | Jessica G Bell | Social Worker | 23929 U.S. Highway 65, Warsaw, MO 65355 | 2013-07-18 |
| 1851628911 | Wellness Place, LLC | Social Worker | 1549 Oldhams Rd, Warsaw, VA 22572-4319 | 2009-11-11 |
| 1508016932 | Shannon Kay Durham | Social Worker | 1620 Hilltop Dr, Warsaw, MO 65355-3057 | 2008-09-23 |
| 1942320247 | Clayton E Neal | Social Worker | 414 Main St., Warsaw, VA 22572 | 2007-03-30 |
| 1679655302 | Brighter Tomorrows Inc. | Social Worker | 825 N Harrison St, C/o Upc, Warsaw, IN 46580-3133 | 2006-10-20 |
| 1811915937 | Joyce A. Brown | Social Worker | 223 S Bronson St, Warsaw, IN 46580-3519 | 2006-07-17 |
| 1558389700 | William Shirk Hambright | Social Worker | 503 E Fort Wayne St, Warsaw, IN 46580-3338 | 2006-07-17 |
| 1194757211 | Deborah Sue Hambright | Social Worker | 503 E Ft Wayne St, Warsaw, IN 46580-3338 | 2006-07-07 |
| 1386631414 | Cynthia Pond | Social Worker | 52 N Main St, Warsaw, NY 14569-1326 | 2005-10-04 |
| 1841295052 | Ann Finch | Social Worker | 2371 N Main St, Warsaw, NY 14569-9356 | 2005-06-15 |
| Find all providers in WARSAW | ||||
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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.