TRACEY JACKSON (NPI# 1639532765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639532765 |
Entity Type | Individual |
Full Name | TRACEY JACKSON |
Practice Address |
5937 Larchwood Ave Philadelphia PA 19143-1115 |
Practice Telephone | 2673035253 |
Mailing Telephone | 2673035253 |
Enumeration Date | 2016-04-05 |
Last Update Date | 2016-04-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134571730 | Tracey Francine Jackson | Technician, Other | 22764 Normandy Ave, Eastpointe, MI 48021-1854 | 2016-07-07 |
1609063882 | Tracey Monique Jackson | Registered Nurse | 23 Flanders St, Rochester, NY 14619-1705 | 2007-10-01 |
1174948038 | Tracey Jackson | Occupational Therapist | 4801 Springfield St, Dayton, OH 45431-1084 | 2014-02-28 |
1255755930 | Tracey Jackson | Case Manager/Care Coordinator | 820 N Plankinton Ave, Milwaukee, WI 53203-1802 | 2014-02-14 |
1861643389 | Tracey Ann Jackson | Counselor | 1547 Parkway Ste 100, Greenwood, SC 29646-4081 | 2008-10-02 |
1487803870 | Tracey D Jackson | Pharmacist | 1000 Locust St, Reno, NV 89502-2597 | 2008-09-10 |
1902074545 | Tracey Jackson | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2008-02-18 |
1215121835 | Tracey Jackson | Physician Assistant | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2007-08-28 |
1558486803 | Tracey L Jackson | Counselor | 4612 Roosevelt Ave, Sacramento, CA 95820 | 2007-03-19 |
1902808868 | Tracey L Jackson | Nurse Anesthetist, Certified Registered | 615 S New Ballas Rd, Sjmmc Dept of Anes, Saint Louis, MO 63141-8221 | 2005-08-11 |
Street Address |
5937 LARCHWOOD AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19143-1115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215554142 | Trusted Hands Care Professionals LLC | In Home Supportive Care | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
1093238388 | Blessed Hands Home Care Agency L.L.C. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
Find all providers in zip 19143 |
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 |
---|---|---|---|---|
1649871658 | Yawei Song | Social Worker | 1101 Market St Ste 21000, Philadelphia, PA 19107-2934 | 2020-11-05 |
1346840170 | Sherell Lorraine Patterson | Social Worker | 8537 Michener Ave, Philadelphia, PA 19150-1601 | 2020-10-30 |
1518566892 | Virginia Marie Carr | Social Worker | 2905 Memphis St, Philadelphia, PA 19134-4313 | 2020-10-19 |
1265030969 | David Nicholas Wilson | Social Worker | 2419 E Hazzard St, Philadelphia, PA 19125-3112 | 2020-10-14 |
1528673274 | Susan Lankin-watts | Social Worker | 313 S 16th St # Pa, Philadelphia, PA 19102-4908 | 2020-09-10 |
1346853264 | Carole Tshela Showell | Social Worker | 3605 Haywood St, Philadelphia, PA 19129-1517 | 2020-08-29 |
1598377418 | Ivone Alejandra Kovalsky | Social Worker | 3199 D St, Philadelphia, PA 19134-2335 | 2020-08-21 |
1245841717 | Leslie Stickler | Social Worker | 3354 Bowman St, Philadelphia, PA 19129-1513 | 2020-08-10 |
1831709310 | Christopher L Tyler | Social Worker | 139 E Mount Pleasant Ave, Philadelphia, PA 19119-1830 | 2020-08-09 |
1982214664 | Ann Thacker | Social Worker | 4500 Worth St # C303, Philadelphia, PA 19124-3491 | 2020-08-06 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19143 |
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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.