DR. CAROLYN MARIE JACKSON (NPI# 1356453591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356453591 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN MARIE JACKSON |
| Credential | MSW, ED.D. |
| Practice Address |
380 E Fort Lowell Rd Ste 120 Tucson AZ 85705-3981 |
| Mailing Address |
1470 S Moonlight Dr Tucson AZ 85748-7436 |
| Practice Telephone | 5206246797 |
| Practice Fax Number | 5206246977 |
| Mailing Telephone | 5208862031 |
| Mailing Fax Number | 5208862064 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-0839 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428251 | Carolyn Jackson | Registered Nurse | 12502 Beauline Abbey St, Tomball, TX 77377-9017 | 2018-12-05 |
| 1407223233 | Carolyn Jackson | Dietitian, Registered | 1139 Yale Pl, Charlotte, NC 28209-1437 | 2015-08-27 |
| 1750779187 | Carolyn E Jackson | Physical Therapist | 737 Se Main St, Ste 200, Simpsonville, SC 29681-3262 | 2015-01-08 |
| 1386984284 | Carolyn Ann Jackson | Registered Nurse | 926 Perry Ave, Dillon, SC 29536-4734 | 2013-03-01 |
| 1689805657 | Carolyn Denise Jackson | Counselor | 3205 Randall Pkwy Ste 121, Wilmington, NC 28403 | 2009-08-07 |
| 1023063823 | Carolyn A Jackson | Nurse Practitioner | 37984 Airport Rd, Woodsfield, OH 43793-9247 | 2006-05-23 |
| 1568972065 | Carolyn Louise Jackson | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2017-10-10 |
| 1740723972 | Carolyn Jackson | In Home Supportive Care | 301 Main St Ste 2200, Baton Rouge, LA 70801-0014 | 2016-11-20 |
| 1821460742 | Carolyn Jackson | Social Worker | 11616 Southfork Ave, Baton Rouge, LA 70816-5241 | 2015-10-30 |
| 1780074294 | Carolyn Anece Jackson | Occupational Therapist | 2450 Riverside Ave, R102, Minneapolis, MN 55454-1450 | 2015-02-04 |
| Street Address |
380 E FORT LOWELL RD STE 120 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85705-3981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982908638 | Old Pueblo Counseling, Incorporated | Counselor | 380 E Fort Lowell Rd Ste 120, Tucson, AZ 85705-3981 | 2011-01-10 |
| 1396885927 | Ronald George Gransie | Counselor | 380 E Fort Lowell Rd Ste 120, Tucson, AZ 85705-3981 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| 1699275693 | Tzimari Sotelo | Nurse Practitioner | 941 N 11th Ave, Tucson, AZ 85705 | 2018-02-15 |
| 1679956502 | Dean Doan | Dentist | 2012 North Country Club Road, Suite E, Tucson, AZ 85705 | 2015-07-09 |
| 1437572955 | Home Is Where The Heart Is Senior Care | Home Health | 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 | 2014-02-04 |
| 1932457553 | Pamela A Williamson | Registered Nurse | 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 | 2012-08-29 |
| 1104136571 | Charles Tyler Upton | Counselor | 721 N. Fourth Ave, Tucson, AZ 85705 | 2010-10-19 |
| 1851629844 | Francisco Antonio Sanchez | Psychologist | 504 E. Speedway Blvd, Tucson, AZ 85705 | 2009-12-02 |
| 1235466145 | Maria Guadalupe Millan | Contractor | 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 | 2009-11-13 |
| Find all providers in zip 85705 | ||||
| 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 |
|---|---|---|---|---|
| 1669070710 | Erica Rhea Wagner | Social Worker | 4873 E Cooper St, Tucson, AZ 85711-3617 | 2020-10-12 |
| 1053928648 | Elizabeth Sarah Kieding | Social Worker | 4732 E Calle Elegante, Tucson, AZ 85718-3733 | 2020-09-28 |
| 1386259778 | Yolanda Jeli | Social Worker | 1701 W Saint Marys Rd Ste 117, Tucson, AZ 85745-2621 | 2020-09-11 |
| 1689282097 | Marcus Aurelius De Volder | Social Worker | 8110 E Speedway Blvd Apt 8391, Tucson, AZ 85710-1782 | 2020-07-21 |
| 1336766641 | Jamie Lakin | Social Worker | 470 W Roger Rd Ste 110, Tucson, AZ 85705-2679 | 2020-07-02 |
| 1356961973 | Jillian A Stein-seroussi | Social Worker | 5400 E Williams Blvd Apt 12207, Tucson, AZ 85711-7486 | 2020-04-23 |
| 1124648175 | Deborah Lorraine Mack | Social Worker | 9950 N Camino De Oeste, Tucson, AZ 85742-9119 | 2020-04-20 |
| 1376163543 | Strategic Healing LLC | Social Worker | 245 S Bryant Ave, Tucson, AZ 85711-4122 | 2020-04-17 |
| 1811526841 | Jessica Belter | Social Worker | 3009 E Elm St # 1, Tucson, AZ 85716-3124 | 2020-04-02 |
| 1700425436 | Shannon N Barefield | Social Worker | 48 N Tucson Blvd Ste 100, Tucson, AZ 85716-4756 | 2019-12-28 |
| Find all providers in TUCSON | ||||
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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.