CLARKE JACKSON


Address: 9730 Baird Rd Apt 2310, Shreveport, LA 71118
Phone: (318) 560-3424

CLARKE JACKSON (NPI# 1518487149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518487149
Entity Type Individual
Full Name CLARKE JACKSON
Practice Address 9730 Baird Rd Apt 2310
Shreveport
LA 71118
Mailing Address 9730 Baird Rd Apt 2310
Shreveport
LA 71118-3879
Practice Telephone (318) 560-3424
Mailing Telephone 3185603424
Enumeration Date 2017-06-24
Last Update Date 2018-05-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 9730 BAIRD RD APT 2310
City SHREVEPORT
State LA
Zip Code 71118

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NPI Name Taxonomy Address Enumeration
1720620784 Wk Center for Pediatric Gastroenterology Pediatrics Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 2019-10-11
1306302443 Diamond Marie Willis Case Manager/Care Coordinator 9403 Mansfield Rd., Shreveport, LA 71118 2019-02-13
1194224469 Latosa Hall Case Manager/Care Coordinator 9007 Letha Loop, Shreveport, LA 71118 2018-02-01
1902321623 Bersheika Lashay Player Counselor 9403 Mansfield Road, Shreveport, LA 71118 2017-08-03
1770010449 Darrie'l Smith Counselor 2715 Mackey, Shreveport, LA 71118 2017-05-12
1760917041 Delilah Wells Case Manager/Care Coordinator 9005 Walker Rd Apt 722, Shreveport, LA 71118 2017-04-25
1790229664 We Care Transporttion Services LLC Secured Medical Transport (VAN) 2529 Summer Grove Dr, Shreveport, LA 71118 2016-12-13
1063955128 Commanisha Smith Social Worker 2715 Mackey Place, Shreveport, LA 71118 2016-11-22
1023560802 Yasmin Newman Counselor 9812 West Trails End, Shreveport, LA 71118 2016-10-27
1407304843 Natoria Womack Behavioral Analyst 2715 Mackey Pl Ste., Shreveport, LA 71118 2016-09-14
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497360887 Halena Jones Case Manager/Care Coordinator 9409 Chaparral Ln, Shreveport, LA 71118-4337 2020-09-11
1598376196 Michaela Nicole Bradley Case Manager/Care Coordinator 10021 Stratmore Cir, Shreveport, LA 71115-3416 2020-08-17
1619585791 Kimberly Bissell Case Manager/Care Coordinator 7505 Pines Rd Ste 1115, Shreveport, LA 71129-3900 2020-07-15
1902414170 Unique Lashae Lister Case Manager/Care Coordinator 2611 Corbitt St, Shreveport, LA 71108-2805 2020-07-14
1407474828 Angela Harris Case Manager/Care Coordinator 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 2020-07-13
1669096921 Ryan Barham Case Manager/Care Coordinator 824 Oneonta St, Shreveport, LA 71106-1130 2020-06-02
1922621085 Julian White Case Manager/Care Coordinator 8529 Grover Pl, Shreveport, LA 71115-2707 2020-05-24
1396368817 Shannon Marie Cannon Case Manager/Care Coordinator 1543 Summers St, Shreveport, LA 71108-3131 2020-05-19
1730701954 Brianna Mason Case Manager/Care Coordinator 1533 Marshall St, Shreveport, LA 71101-3941 2020-05-11
1295355238 Angela Rice Case Manager/Care Coordinator 2704 Frostwood Dr, Shreveport, LA 71108-5524 2020-04-20
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71118

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Dataset Information

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.

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