MRS. NICOLE A JACKSON (NPI# 1528544251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528544251 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE A JACKSON |
| Credential | LCSW-C |
| Practice Address |
1055 Taylor Ave Ste 203 Towson MD 21286-8333 |
| Mailing Address |
11810 Presgraves Rd Reisterstown MD 21136-3298 |
| Practice Telephone | 4432795829 |
| Mailing Telephone | 4432717449 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
22666 | MD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11810 Presgraves Rd, Reisterstown, MD 211363298 | 4432717449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184689 | Nicole Jackson | Specialist | 3983 Thunder Heights Ln, Middleburg, FL 32068-7362 | 2014-08-05 |
| 1053745521 | Nicole L Jackson | Counselor | 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 | 2013-09-02 |
| 1245569276 | Nicole Denise Jackson | Licensed Practical Nurse | 2122 Ridge Rd W, Rochester, NY 14626-2802 | 2009-12-22 |
| 1144559931 | Nicole L Jackson | Licensed Practical Nurse | 18680 Main Street, Tontogany, OH 43565 | 2009-12-08 |
| 1144489261 | Nicole L. Jackson | Counselor | 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 | 2008-06-04 |
| 1124299680 | Nicole Jackson | Licensed Practical Nurse | 1830 Southern Pkwy, Springfield, OH 45506-3115 | 2008-03-12 |
| 1578740023 | Nicole Jackson | Counselor | 3630 George Washington Hwy, Ste B-6, Yorktown, VA 23693 | 2008-01-28 |
| 1205999588 | Nicole Lewis Jackson | Dentist | 3298 Northside Dr, Macon, GA 31210 | 2006-12-18 |
| 1104447275 | Nicole Feliz Jackson | Specialist/Technologist | 1301 S Us Highway 377, Argyle, TX 76226-7744 | 2020-04-30 |
| 1023637220 | Nicole Jackson | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-04-09 |
| Street Address |
1055 TAYLOR AVE STE 203 |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-8333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003368317 | Jennifer Pope | Social Worker | 1055 Taylor Ave Ste 203, Towson, MD 21286-8333 | 2016-11-03 |
| 1487299384 | Wanda Willoughby | Social Worker | 1055 Taylor Ave Ste 203, Towson, MD 21286-8333 | 2019-11-14 |
| 1861950784 | Sirah I Ali | Social Worker | 1055 Taylor Ave Ste 203, Towson, MD 21286-8333 | 2019-03-10 |
| 1588136972 | Kamilah Aisha Smiley | Social Worker | 1055 Taylor Ave Ste 203, Towson, MD 21286-8333 | 2018-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060846 | Matthew Mcleod Rehak | Social Worker | 825 Providence Rd, Towson, MD 21286-2964 | 2019-02-26 |
| 1841757416 | Jaclyn Van Luit | Social Worker | 6901 N Charles St, Towson, MD 21204-3780 | 2019-03-01 |
| 1245797802 | Hannah Bailey | Social Worker | 6901 N Charles St, Towson, MD 21204-3780 | 2019-03-01 |
| 1720545304 | Brandi Parenti | Social Worker | 6901 N Charles St, Towson, MD 21204-3780 | 2019-03-01 |
| 1134686033 | Melissa Sachs-kohen | Social Worker | 6901 N Charles St, Towson, MD 21204-3780 | 2019-02-27 |
| 1750802690 | Rachel Spiegler | Social Worker | 8415 Bellona Ln Ste 203, Towson, MD 21204-2066 | 2017-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740818822 | Rebecca Pavic | Social Worker | 1201 Old Ocean City Rd, Salisbury, MD 21804-4560 | 2020-04-01 |
| 1023645801 | Stephanie Salamone | Social Worker | 1333 Upcot Ct, Capitol Heights, MD 20743-4229 | 2020-03-24 |
| 1720645435 | Steven Murray Mednick | Social Worker | 2500 E Northern Pkwy, Baltimore, MD 21214-1163 | 2019-05-29 |
| 1811554645 | Patricia A. Yeargin | Social Worker | 200 E. North Avenue - Room 105: Re-engagement Center, Baltimore, MD 21202-2120 | 2019-05-28 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1427515303 | Cynthia Mary Jackson | Social Worker | 602 Kahn Dr, Pikesville, MD 21208-5824 | 2019-02-27 |
| 1902363765 | Angelina Anthony Sills | Social Worker | 2815 Saint Lo Dr, Baltimore, MD 21213-1325 | 2019-02-27 |
| 1164989166 | Nicole Maloney | Social Worker | 10 Cockeys Mill Rd, Reisterstown, MD 21136-1283 | 2019-02-26 |
| 1437616679 | Roseline Imbolo Petro-siewe | Social Worker | 926 Greenmount Ave, Baltimore, MD 21202-4238 | 2019-02-25 |
| 1356808455 | Kelly Mcmahon Wagner | Social Worker | 4701 Greenspring Ave, Baltimore, MD 21209-4704 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
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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.