JACQUELINA DEANNA PICKETT (NPI# 1639635873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639635873 |
Entity Type | Individual |
Full Name | JACQUELINA DEANNA PICKETT |
Credential | LMSW |
Practice Address |
1727 Wrightsboro Rd Augusta GA 30904-4049 |
Practice Telephone | 7063649730 |
Mailing Telephone | 7063649730 |
Enumeration Date | 2019-02-12 |
Last Update Date | 2019-02-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
MSW007005 | GA | Behavioral Health & Social Service Providers |
Street Address |
1727 WRIGHTSBORO RD |
City | AUGUSTA |
State | GA |
Zip Code | 30904-4049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780669218 | Mary Lynn Tyson | Psychiatry & Neurology | 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904-4074 | 2005-12-07 |
1750847190 | Amy Michelle Anderson | Registered Nurse | 1727 Wrightsboro Rd, Augusta, GA 30904-4049 | 2019-02-11 |
1114383551 | Ronda Taylor | Counselor | 1727 Wrightsboro Rd, Suite A, Augusta, GA 30904-4049 | 2016-01-14 |
1619343456 | Nicole Goudelock | Counselor | 1727 Wrightsboro Rd, Augusta, GA 30904-4049 | 2015-08-17 |
1932494960 | Megan Sarah Paul | Counselor | 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904-4074 | 2011-06-17 |
1508014168 | Laron Freeman | Social Worker | 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904-4074 | 2008-09-08 |
1003064734 | Ashleigh Deriso | Licensed Practical Nurse | 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904-4074 | 2008-09-06 |
1326296146 | Pam Oliphant | Social Worker | 1727 Wrightsboro Rd, Augusta, GA 30904-4074 | 2008-09-04 |
1396993119 | Denny Brown | Social Worker | 1727 Wrightsboro Rd, Augusta, GA 30904-4074 | 2008-09-04 |
1285882001 | Samuel Leverett | Social Worker | 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904-4074 | 2008-09-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
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Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043843097 | Jaquay Robinson | Social Worker | 4389 W Maysfield Dr Ste 100, Augusta, GA 30909-9648 | 2020-02-18 |
1023640570 | Sara Mae Mcgrane | Social Worker | 1 Va Ctr Unit 63, Augusta, ME 04330-6719 | 2020-02-12 |
1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
1003479072 | Edward P Walsh | Social Worker | 1 Va Center Dr, Mhc, Augusta, ME 04239 | 2019-04-16 |
1205394160 | Natalie Bryan, Lcsw L.L.C. | Social Worker | 104 Greene St, Augusta, GA 30901-1609 | 2019-03-08 |
1669943833 | Meredith E Mccabe | Social Worker | 12 Shuman Ave Ste 8, Augusta, ME 04330-6020 | 2018-12-16 |
1629544218 | Rebecca Anne Cornell Du Houx | Social Worker | 96 Albee Rd, Augusta, ME 04330-8530 | 2018-10-22 |
1295265569 | Ashley Elizabeth Osborne | Social Worker | 2050 Walton Way Ste 100, Augusta, GA 30904-2305 | 2017-06-19 |
1548703630 | Andrew Levine | Social Worker | 1206 Anthony Rd, Augusta, GA 30904-4402 | 2016-11-22 |
1790157931 | Vicki Bailey | Social Worker | 322 Indian Trl, Augusta, GA 30907-3796 | 2015-10-27 |
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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.