AVIS JACKSON (NPI# 1396309399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396309399 |
| Entity Type | Individual |
| Full Name | AVIS JACKSON |
| Practice Address |
714 Oakland Dr Natchitoches LA 71457-5626 |
| Practice Telephone | 3182285396 |
| Mailing Telephone | 3182285396 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11061 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861030835 | Avis Shantrell Jackson | Home Health Aide | 1700 Nw 66th St, Miami, FL 33147-7444 | 2019-12-20 |
| 1770115206 | Avis Jackson | Case Manager/Care Coordinator | 9487 Brookline Ave, Baton Rouge, LA 70809-1429 | 2020-02-12 |
| Street Address |
714 OAKLAND DR |
| City | NATCHITOCHES |
| State | LA |
| Zip Code | 71457-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
| 1497232748 | Hand In Hand Hospice Care LLC | Hospice Care, Community Based | 135 East 5th Street, Natchitoches, LA 71457 | 2018-07-19 |
| 1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
| 1467968024 | Amanda K Cully | Case Manager/Care Coordinator | 200 Rapides Dr Ste A, Natchitoches, LA 71457 | 2017-12-19 |
| 1972021749 | Jessica Smith | Case Manager/Care Coordinator | 325 South Drive, Natchitoches, LA 71457 | 2017-08-31 |
| 1689190720 | Chartia Hurt | Counselor | 430 Dixie Plaza, Natchitoches, LA 71457 | 2017-08-21 |
| 1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
| 1548794969 | Stephanie Sowell | Counselor | 120 Laird Fletcher Rd, Natchitoches, LA 71457 | 2017-04-12 |
| 1538692579 | Cynthia Harmon | Counselor | 1025 Hill Ave, Natchitoches, LA 71457 | 2017-04-06 |
| 1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
| Find all providers in zip 71457 | ||||
| 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 |
|---|---|---|---|---|
| 1093172546 | Rose Salim | Social Worker | 220 Ragan St, Natchitoches, LA 71457-4615 | 2016-01-27 |
| 1750756433 | Demarius Payne | Social Worker | 409 Hancock Ave, Natchitoches, LA 71457-5509 | 2015-12-07 |
| 1508186313 | Dian Deckbar Snowden | Social Worker | 509 White Oak Ln, Natchitoches, LA 71457-6715 | 2010-06-03 |
| 1992954135 | Doris M Kochinsky | Social Worker | 271 Kochinsky Rd, Natchitoches, LA 71457-4278 | 2008-09-11 |
| 1053466896 | Loretta Gail Braudaway | Social Worker | 1533 Salter St, Natchitoches, LA 71457-5231 | 2007-01-24 |
| 1407910128 | D. Randall Haley | Social Worker | 122 Touline St, Natchitoches, LA 71457-4685 | 2006-12-20 |
| 1982078937 | Candance Grayson | Social Worker | 861 3rd St, Natchitoches, LA 71457-4701 | 2015-11-13 |
| 1467849976 | Jeannine Marien Ammons | Social Worker | 122 Touline St, Natchitoches, LA 71457-4685 | 2015-04-22 |
| 1649678756 | Amy Bienvenu | Social Worker | 111 E 5th St, Natchitoches, LA 71457-5724 | 2014-12-05 |
| 1699196188 | Bobby Williams | Social Worker | 210 Medical Dr, Natchitoches, LA 71457-6052 | 2013-12-30 |
| Find all providers in NATCHITOCHES | ||||
| City | NATCHITOCHES |
| Zip Code | 71457 |
Please comment or provide details below to improve the information on AVIS JACKSON.
| 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.