REBECCA GRACE JACKSON (NPI# 1437768256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437768256 |
| Entity Type | Individual |
| Full Name | REBECCA GRACE JACKSON |
| Credential | MSW, LCSWA |
| Practice Address |
725 Wellington Ave Wilmington NC 28401-7652 |
| Mailing Address |
4636 Still Meadow Dr Apt 109 Wilmington NC 28412-8216 |
| Practice Telephone | 9103924881 |
| Mailing Telephone | 3017584555 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P013617 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337959 | Rebecca Jackson | Speech-Language Pathologist | 401 Taswell Ave, Colonial Heights, VA 23834-1548 | 2018-08-23 |
| 1700202587 | Rebecca Jackson | Registered Nurse | 503 Candace Dr, Springfield, OH 45504-3752 | 2014-03-17 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1952571184 | Rebecca Lynne Jackson | Physician Assistant | 920 Ironwood Drive, Suite 101, Coeur D'alene, ID 83814-2464 | 2008-03-04 |
| 1013062488 | Rebecca R Jackson | Chiropractor | 12203 Aberdeen St Ne Ste 140, Blaine, MN 55449-4719 | 2007-01-24 |
| 1750316063 | Rebecca L Jackson | Plastic Surgery | 1175 Trancas St, Napa, CA 94558-2907 | 2006-07-12 |
| 1205819638 | Rebecca Katherine Pitt Jackson | Optometrist | 2510 S Reserve St, Missoula, MT 59801-7546 | 2005-11-21 |
| 1053885285 | Rebecca Whitaker Jackson | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2019-01-22 |
| 1306329313 | Rebecca Lynn Jackson | Counselor | 1717 N High St, Lansing, MI 48906-4529 | 2018-09-14 |
| 1932681525 | Rebecca Sue Jackson | Occupational Therapy Assistant | 2601 Northwest Loop, Stephenville, TX 76401-1712 | 2018-08-30 |
| Street Address |
725 WELLINGTON AVE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063571131 | Access Family Services | Foster Care Agency | 725 Wellington Ave, Wilmington, NC 28401-7652 | 2006-12-06 |
| 1851903603 | Pathways Human Services of North Carolina, LLC | Counselor | 725 Wellington Ave, Wilmington, NC 28401-7652 | 2020-08-21 |
| 1265041081 | Ashley Oriol | Social Worker | 725 Wellington Ave, Wilmington, NC 28401-7652 | 2020-07-28 |
| 1508475336 | Amelia Phillips | Social Worker | 725 Wellington Ave, Wilmington, NC 28401-7652 | 2020-07-28 |
| 1417566241 | Ashley Elizabeth Toti | Social Worker | 725 Wellington Ave, Wilmington, NC 28401-7652 | 2020-07-28 |
| 1972112753 | Allison Eddy | Social Worker | 725 Wellington Ave, Wilmington, NC 28401-7652 | 2020-07-28 |
| 1801427364 | Kennedy Ervin | Social Worker | 725 Wellington Ave, Wilmington, NC 28401-7652 | 2020-02-03 |
| 1336629468 | Amber Stark | Counselor | 725 Wellington Ave, Wilmington, NC 28401 | 2018-08-17 |
| 1144687260 | Kimberly M Spader Pllc | Early Intervention Provider Agency | 725 Wellington Ave, Wilmington, NC 28401-7652 | 2016-01-20 |
| 1538526983 | Michelle Parker | Social Worker | 725 Wellington Ave, Wilmington, NC 28401-7652 | 2016-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| 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 |
|---|---|---|---|---|
| 1821602608 | Bhs Counseling, Pllc | Social Worker | 446 Motts Creek Rd, Wilmington, NC 28412-7854 | 2020-08-31 |
| 1659985406 | Kelsey Metz | Social Worker | 2023 S 17th St Unit 1a, Wilmington, NC 28401-6600 | 2020-08-31 |
| 1265044424 | Katelyn Elizabeth Currie | Social Worker | 3401 Wilshire Blvd Apt 103, Wilmington, NC 28403-4261 | 2020-08-19 |
| 1114539467 | Personal Insight Therapy, LLC | Social Worker | 226 Lowell St Ste B7, Wilmington, MA 01887-3073 | 2020-08-18 |
| 1336751726 | Ikia Williams | Social Worker | 4415 Junction Park Dr, Wilmington, NC 28412-2263 | 2020-08-18 |
| 1356961627 | Jacqueline Sabella | Social Worker | 1608 Queen St, Wilmington, NC 28401-5527 | 2020-04-16 |
| 1649808528 | Jessie Therese Redden | Social Worker | 5235 W Woodmill Dr Ste 47, Wilmington, DE 19808-4068 | 2020-03-27 |
| 1659907830 | Danielle M Lopez | Social Worker | 2700 Silverside Rd Ste 4, Wilmington, DE 19810-3724 | 2020-03-19 |
| 1942836267 | Christiana Care Health Initiatives | Social Worker | 4000 Nexus Dr Rm Nwg -250, Wilmington, DE 19803-3000 | 2020-03-18 |
| 1952936049 | Taylor Danielle Quick-smith | Social Worker | 1002 Talcon Dr, Wilmington, DE 19804-1200 | 2020-03-09 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.