MS. HELEN MARIE JACKSON


Address: 2815 Osler Dr, # 6307, Grand Prairie, TX 75051-1041
Phone: 9726397636

MS. HELEN MARIE JACKSON (NPI# 1588875785) 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) 1588875785
Entity Type Individual
Full Name MS. HELEN MARIE JACKSON
Credential LICSW
Practice Address 2815 Osler Dr
# 6307
Grand Prairie
TX 75051-1041
Practice Telephone 9726397636
Practice Fax Number 2534752115
Mailing Telephone 9726397636
Mailing Fax Number 2534752115
Enumeration Date 2007-05-28
Last Update Date 2013-06-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
51043 TX Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
LW00007344 WA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 203186601 05

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Office Location

Street Address 2815 OSLER DR
# 6307
City GRAND PRAIRIE
State TX
Zip Code 75051-1041

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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Competitor

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City GRAND PRAIRIE
Zip Code 75051

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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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