MRS. ALEXANDRA SHARON JACKSON (NPI# 1548384662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548384662 |
| Entity Type | Individual |
| Full Name | MRS. ALEXANDRA SHARON JACKSON |
| Credential | LCSW |
| Practice Address |
3231 Bixby Way Stockton CA 95209-1573 |
| Practice Telephone | 2094772005 |
| Practice Fax Number | 2094772005 |
| Mailing Telephone | 2094772005 |
| Mailing Fax Number | 2094772005 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2013-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS22763 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100861 | Alexandra Tatiana Jackson | Counselor | 1332 Elmira St, Aurora, CO 80010-3215 | 2018-07-05 |
| 1487158044 | Alexandra L Jackson | Chiropractor | 20 W Canal St Apt 221, Winooski, VT 05404-2133 | 2018-03-20 |
| 1720472400 | Alexandra Megan Jackson | Nurse Practitioner | 6301 Herndon Road, Durham, NC 27713 | 2015-03-20 |
| 1376026864 | Alexandra Taylor Jackson | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2018-09-11 |
| 1285983759 | Alexandra Jackson | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2012-08-30 |
| Street Address |
3231 BIXBY WAY |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
| 1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
| 1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
| 1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
| 1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
| Find all providers in zip 95209 | ||||
| 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 |
|---|---|---|---|---|
| 1528696366 | Benica Jane Foster | Social Worker | 343 E Main St Ste 919, Stockton, CA 95202-2932 | 2020-03-28 |
| 1881226702 | Dawayla Sheree Williams | Social Worker | 4719 Quail Lakes Dr Ste G1046, Stockton, CA 95207-5267 | 2020-02-08 |
| 1407487200 | Lecia Harrison | Social Worker | 4216 Sturgeon Rd, Stockton, CA 95219-4937 | 2020-01-30 |
| 1821632670 | Sandra L Barrios | Social Worker | 2001 Tillie Lewis Dr, Stockton, CA 95206-4603 | 2019-11-05 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1982191649 | Diego Garcia | Social Worker | 10229 Crocker Rd, Stockton, CA 95206-9506 | 2018-04-18 |
| 1679082283 | Alexis Alexandria Pigorsch | Social Worker | 2431 W March Ln Ste 100, Stockton, CA 95207-8211 | 2017-09-26 |
| 1255780078 | Taneka Carnes-jackson | Social Worker | 3131 Arch Airport Rd, #31072, Stockton, CA 95213-3000 | 2016-06-13 |
| 1700281367 | Carol Robinson | Social Worker | 1149 El Dorado St., Stockton, CA 95202 | 2014-10-24 |
| Find all providers in STOCKTON | ||||
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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.