CHARLES JACKSON (NPI# 1437594553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437594553 |
| Entity Type | Individual |
| Full Name | CHARLES JACKSON |
| Practice Address |
18712 Quarry St Riverview MI 48193-4527 |
| Mailing Address |
5534 Spitfire Ct Newport MI 48166-9592 |
| Practice Telephone | 7345605901 |
| Mailing Telephone | 7345605901 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6802063993 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457896839 | Charles Jackson | Counselor | 2911 Penick St, Shreveport, LA 71109-4337 | 2016-12-21 |
| 1043655681 | Charles D Jackson | Driver | 4856 W.12th, Suite 1, Cleveland, OH 44109-3424 | 2013-05-09 |
| 1508154105 | Charles Gilbert Jackson Jr. | Psychiatry & Neurology | 88 Crescent St, Northampton, MA 01060-2115 | 2011-07-16 |
| 1457669848 | Charles Edward Jackson Jr. | Psychologist | 1407 Healing Water Lane, N.las Vegas, NV 89031 | 2010-09-20 |
| 1588994081 | Charles Dustin Jackson | Counselor | 5004 Nw 26th St, Oklahoma City, OK 73127-1722 | 2010-01-05 |
| 1508985250 | Charles Arthur Jackson Jr. | Chiropractor | 2455 E Hill Rd, Grand Blanc, MI 48439 | 2007-03-27 |
| 1760535926 | Charles Jackson | Podiatrist | 820 N Dalmont St, Hobbs, NM 88240-5214 | 2007-01-19 |
| 1982769840 | Charles Jackson | Dentist | 3540 82nd St, Jackson Heights, NY 11372-5159 | 2006-12-22 |
| 1437224813 | Charles Wesley Jackson Jr. | Psychologist | 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 | 2006-11-21 |
| 1306929856 | Charles Russell Jackson | Dentist | 1 Med Center Dirve, Morgantown, WV 26506 | 2006-10-20 |
| Street Address |
18712 QUARRY ST |
| City | RIVERVIEW |
| State | MI |
| Zip Code | 48193-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053744300 | Riverview Adult Day & Health Center Inc. | Social Worker | 18712 Quarry St, Riverview, MI 48193-4527 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| 1710348974 | Roberta Ryan | Licensed Practical Nurse | 19048 Stonewood, Riverview, MI 48193 | 2016-03-16 |
| 1083978126 | Waqar Ahmed Yazdani | Physical Therapist | 21708 Adams Dr, Brownstown, MI 48193 | 2012-07-03 |
| 1568745008 | Adrianne Rockin Co LLC | Registered Nurse | 17735 Fort St, Riverview, MI 48193 | 2011-09-21 |
| 1962504399 | Barbara Lynn Novak | Technician/Technologist | 19216 Fort Street, Riverview, MI 48193 | 2006-09-05 |
| 1750494282 | Cosmetic Dermatology and Vein Centers of Downriver PC | Dermatology | 17171 Fort St, Riverview, MI 48193 | 2006-08-17 |
| 1235106915 | Syed Muhammad Raza | Internal Medicine | 18025 Fort St, Riverview, MI 48193 | 2006-03-02 |
| 1083686380 | John A Santoro | Dentist | 14525 Sibley Rd, Riverview, MI 48193 | 2006-02-02 |
| 1649240177 | Asker Asmi | Internal Medicine | 18025 Fort Street, Riverview, MI 48193 | 2006-01-26 |
| 1720562051 | Sana Health Inc | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-09-21 |
| Find all providers in zip 48193 | ||||
| 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 |
|---|---|---|---|---|
| 1720692270 | Nikki Michell Gregory | Social Worker | 10638 Shady Preserve Dr, Riverview, FL 33579-9310 | 2020-09-02 |
| 1063024263 | Stephanie Jara | Social Worker | 14207 Poke Ridge Dr, Riverview, FL 33579-3523 | 2020-08-19 |
| 1093324790 | Blair-tiffany Mccormick | Social Worker | 11001 Golden Silence Dr, Riverview, FL 33579-2341 | 2020-07-28 |
| 1669014478 | Marco Bernard Watson | Social Worker | 11111 Hudson Hills Ln, Riverview, FL 33579-3211 | 2019-10-14 |
| 1245880988 | Lauren Marie Gail Renne | Social Worker | 10760 Bloomingdale Ave, Riverview, FL 33578-3675 | 2019-09-15 |
| 1437707882 | Krystal A Ricketts | Social Worker | 8726 Deep Maple Dr, Riverview, FL 33578-8979 | 2019-08-29 |
| 1740784719 | Healing Hearts Holistically, LLC | Social Worker | 10230 Holland Rd, Riverview, FL 33578 | 2018-03-22 |
| 1922523497 | Florida Aging Mental Health LLC | Social Worker | 10210 Marsh Harbor Way Apt 6, Riverview, FL 33578-3018 | 2017-08-07 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1023479086 | Thamers Jones | Social Worker | 11287 Winthrop Main St, Riverview, FL 33578-4293 | 2016-03-17 |
| Find all providers in RIVERVIEW | ||||
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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.