MS. TANEEKA JACKSON (NPI# 1639526767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639526767 |
| Entity Type | Individual |
| Full Name | MS. TANEEKA JACKSON |
| Credential | LGSW |
| Practice Address |
1530 1st St Sw Washington DC 20024-3401 |
| Practice Telephone | 2024790089 |
| Practice Fax Number | 2024794709 |
| Mailing Telephone | 2024790089 |
| Mailing Fax Number | 2024794709 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LG50078542 | DC | Behavioral Health & Social Service Providers |
| Street Address |
1530 1ST ST SW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20024-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497125967 | Specialized Education of Dc, Inc. | Local Education Agency (LEA) | 1530 1st St Sw, Washington, DC 20024-3401 | 2015-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245712694 | A'layah Brown | Technician | 1512 2nd Street Sw #12, Washington, DC 20024 | 2018-09-02 |
| 1225533086 | D.c. Home Health Holdings LLC | Home Health | 955 L'efant Plaza Sw, Suite 985, Washington, DC 20024 | 2018-03-26 |
| 1982121893 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 800 Maine Ave, Sw, Washington, DC 20024 | 2017-08-23 |
| 1609305002 | Sneha Chackochan | Technician, Other | 201 I St Sw Apt V527, Washington, DC 20024 | 2017-06-08 |
| 1679904106 | Christine Law | Occupational Therapist | 401 I Street Sw, Washington, DC 20024 | 2013-12-10 |
| 1982962098 | Sakeenah Turner-cooper | Home Health Aide | 501 School St Sw Ste 200, Washington, DC 20024 | 2012-04-26 |
| 1497085666 | Emily H Lo | Physical Therapist | 409 3rd Street Sw, Suite C700, Washington, DC 20024 | 2010-01-11 |
| 1497879910 | Professional Healthcare Resources of Washington Dc, Inc. | Respite Care | 501 School St Sw, Suite 200, Washington, DC 20024 | 2007-03-19 |
| 1134263148 | Lenora Blathers | Dentist | 700 7th Street Sw, Suite G-2, Washington, DC 20024 | 2007-02-16 |
| 1720245368 | Mark Steven Varanelli | Emergency Medical Technician, Paramedic | 1100 Ohio Dr Sw, Uspp / Aviation Unit, Washington, DC 20024-0001 | 2008-05-21 |
| Find all providers in zip 20024 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225294 | Dominique Rashard Williams | Counselor | 4000 Kansas Ave Nw Apt 206, Washington, DC 20011-5743 | 2020-11-04 |
| 1932709326 | Amy Mall | Counselor | 353 O St Sw, Washington, DC 20024-2901 | 2020-10-27 |
| 1518565787 | Kathryn Paige Zorniger | Counselor | 712 H St Ne Ste 1056, Washington, DC 20002-3627 | 2020-10-11 |
| 1477150001 | Marlyse D Kouano | Counselor | 850 21st St Ne Apt 3, Washington, DC 20002-4131 | 2020-10-06 |
| 1609473750 | Asia Vianna Mack Leak | Counselor | 529 14th St Nw, Washington, DC 20045-1000 | 2020-10-01 |
| 1427665777 | C'aira Neal | Counselor | 4020 Minnesota Ave Ne Apt 636, Washington, DC 20019-3568 | 2020-09-29 |
| 1992312706 | Carolyn Elaine Gonterman | Counselor | 2223 40th St Nw Apt 2, Washington, DC 20007-1736 | 2020-09-25 |
| 1194338095 | Tanyi Mubang | Counselor | 6101 16th St Nw Apt 518, Washington, DC 20011-1761 | 2020-08-28 |
| 1932711488 | Claudia Mai Nguyen | Counselor | 20 F St Nw Ofc 757, Washington, DC 20001-6700 | 2020-08-17 |
| 1114538352 | Sarita Johnson | Counselor | 650 I St Se, Washington, DC 20003-2725 | 2020-08-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20024 |
Please comment or provide details below to improve the information on MS. TANEEKA JACKSON.
| 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.