ANTOINE JACKSON (NPI# 1629528849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629528849 |
| Entity Type | Individual |
| Full Name | ANTOINE JACKSON |
| Credential | MSW |
| Practice Address |
9080 Beale Rd Building 62, 3rd Floor Bethesda MD 20889-5633 |
| Practice Telephone | 3013192587 |
| Mailing Telephone | 3013192587 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | SW133710 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881992006 | Antoine Trevor Jackson | Counselor | 1475 Mecaslin St Nw Apt 7306, Atlanta, GA 30309-2287 | 2011-03-11 |
| 1447745088 | Antoine Jackson | Counselor | 401 S Tustin St, Orange, CA 92866-2550 | 2018-06-26 |
| Street Address |
9080 BEALE RD BUILDING 62, 3RD FLOOR |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-5633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952536617 | Patricia Ann Pacynski | Social Worker | 9080 Beale Rd, Building 62, Room 3055, Bethesda, MD 20889-5633 | 2009-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| Find all providers in zip 20889 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493012 | Melissa Herendeen | Social Worker | 7979 Old Georgetown Rd Fl 1, Bethesda, MD 20814-2429 | 2020-09-30 |
| 1487203287 | Alexandra Altman | Social Worker | 100 Commerce Ln Apt 1402, Bethesda, MD 20814-6269 | 2019-09-05 |
| 1972094241 | Ethan Ulanow | Social Worker | 4915 Saint Elmo Ave Ste 504, Bethesda, MD 20814-6019 | 2018-05-22 |
| 1699276543 | Elizabeth Dakin | Social Worker | 4701 Sangamore Rd Ste 305, Bethesda, MD 20816-2508 | 2018-02-26 |
| 1558803403 | Lauren Corinne Pisner | Social Worker | America Building 19 3rd Floor Rm 3605, 4954 North Palmer Road, Bethesda, MD 20889-5630 | 2016-11-09 |
| 1609235563 | Sarah Katherine Tipler | Social Worker | 4719 Hampden Lane, Suite 100, Bethesda, MD 20815 | 2016-02-19 |
| 1447620851 | Jennifer Kent | Social Worker | 4801 Hampden Ln Apt 801, Bethesda, MD 20814-2949 | 2015-09-28 |
| 1316333644 | Carol Liu | Social Worker | 4401 E West Hwy Ste 203, Bethesda, MD 20814-4529 | 2015-04-14 |
| 1952708851 | Debra Kanter Klaus | Social Worker | 9205 Lindale Dr, Bethesda, MD 20817-3442 | 2014-11-21 |
| 1346595550 | Quinn Kathleen Cassidy | Social Worker | National Institutes of Health Bldg 10 Crc Rm 2-3581, 10 Center Dr Msc 1160, Bethesda, MD 20892 | 2012-07-13 |
| Find all providers in BETHESDA | ||||
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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.