HENRY JACKSON (NPI# 1568833606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568833606 |
| Entity Type | Individual |
| Full Name | HENRY JACKSON |
| Practice Address |
1500 Waters Pl Bronx NY 10461-2723 |
| Practice Telephone | 7189447110 |
| Practice Fax Number | 7189447091 |
| Mailing Telephone | 7189447110 |
| Mailing Fax Number | 7189447091 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
072695 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871147116 | Henry Jackson | Dentist | 55 Glenda Trce, Newnan, GA 30265-3887 | 2019-07-25 |
| 1699213959 | Henry Lee Jackson Jr. | Dentist | 334 E Hanes Mill Rd, Winston Salem, NC 27105-9135 | 2017-02-07 |
| 1124441621 | Henry Edward Jackson | Kinesiotherapist | 1703 Georgia Ave, Richmond, VA 23220 | 2014-02-04 |
| 1063667053 | Henry Jackson | Physical Therapist | 5605 Tilden Ave, Brooklyn, NY 11203-4819 | 2008-11-18 |
| 1497953368 | Henry Benson Jackson | Social Worker | 10 Peterboro Det. Central City Community Mental Health, Detroit, MI 48201-2722 | 2007-07-03 |
| 1871610899 | Henry Clarke Jackson Jr. | Specialist/Technologist | 1119 Veterans Dr, Florence, AL 35630-4951 | 2007-03-23 |
| 1679549836 | Henry A Jackson | Internal Medicine | 4224 Houma Blvd Ste 380, Metairie, LA 70006-2980 | 2006-02-27 |
| 1558624866 | Henry Carson Jackson | Family Medicine | 10497 Town and Country Way, Suite 360, Houston, TX 77024-1117 | 2012-06-21 |
| 1811280902 | Henry Jackson | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2011-05-23 |
| 1285643452 | Henry Jackson | Internal Medicine | 1 Freedom Way, Vamc-augusta-ud (26), Augusta, GA 30904-6258 | 2006-08-05 |
| Street Address |
1500 WATERS PL |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215010988 | Bronx State Hospital | Psychiatric Hospital | 1500 Waters Pl, Bronx, NY 10461-2723 | 2006-10-24 |
| 1093313462 | Sutthiwut Paul Klamsathien | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2020-10-16 |
| 1780228056 | Helen Sikeade Oladunjoye | Psychiatry & Neurology | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-30 |
| 1821631375 | Pingping Liu | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-28 |
| 1043853021 | Juan Ma | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-23 |
| 1992347421 | Pamela Walthall | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-16 |
| 1205478096 | Victoria Chima Duru-tanksley | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-13 |
| 1205478179 | Beryl Pearl Nwachukwu | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-12 |
| 1275175192 | Alma Grace P. Oliva | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-11 |
| 1265074132 | Kechner Moise | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| 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 |
|---|---|---|---|---|
| 1114527447 | Pearl Sharp Hacker | Social Worker | 90 Schofield Street, Bronx, NY 10464-1532 | 2020-10-27 |
| 1780283499 | Sean Power | Social Worker | 4320 Van Cortlandt Park E Apt 3k, Bronx, NY 10470-1931 | 2020-10-22 |
| 1023616455 | Eclectic Interventions, LLC | Social Worker | 880 Colgate Ave Apt 2l, Bronx, NY 10473-4807 | 2020-10-16 |
| 1467064808 | Suleyma Huerta Nava | Social Worker | 789 E 166th St Apt Wb, Bronx, NY 10456-5657 | 2020-08-18 |
| 1760092993 | Nancy Key | Social Worker | 600 Harding Park, Bronx, NY 10473-2341 | 2020-08-03 |
| 1780293399 | Eva Schonfeld Reichel | Social Worker | 3240 Henry Hudson Pkwy Apt 3h, Bronx, NY 10463-3220 | 2020-07-29 |
| 1013534114 | Alice S Liu | Social Worker | 2403 Cambreleng Ave Apt A, Bronx, NY 10458-6275 | 2020-07-06 |
| 1831714104 | Robert Patrick Benjamin | Social Worker | 250 Walton Ave Ste 2n, Bronx, NY 10451-5416 | 2020-06-12 |
| 1053946707 | Melisssa Berges | Social Worker | 2338 University Ave Apt 3s, Bronx, NY 10468-8200 | 2020-03-03 |
| 1639703978 | Arianny Marian Garcia | Social Worker | 1438 Waring Ave, Bronx, NY 10469-5734 | 2020-02-25 |
| Find all providers in BRONX | ||||
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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.