TRACEY JACKSON


Address: 5937 Larchwood Ave, Philadelphia, PA 19143-1115
Phone: 2673035253

TRACEY JACKSON (NPI# 1639532765) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Providers TRACEY JACKSON

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

Office Location

Street Address 5937 LARCHWOOD AVE
City PHILADELPHIA
State PA
Zip Code 19143-1115

Providers in the same zip code

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 Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19143

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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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