MS. LESLIE J JACKSON (NPI# 1669900239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669900239 |
| Entity Type | Individual |
| Full Name | MS. LESLIE J JACKSON |
| Other Name | MS. LESLIE J KAHN |
| Credential | LCSW |
| Practice Address |
650 Fulton St Brooklyn NY 11217-1517 |
| Practice Telephone | (718) 834-5900 |
| Mailing Telephone | 7185969800 |
| Mailing Fax Number | 7185969889 |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
084870 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05160852 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1780076745 | Leslie Jackson | Chore Provider | 18350 Lahser Rd, Detroit, MI 48219-4326 | 2015-02-28 |
| 1952587271 | Leslie Cecilia Jackson | Psychologist | 734 Kenilworth Cir, Stone Mountain, GA 30083-3416 | 2008-01-16 |
| 1649320904 | Leslie K Jackson | Family Medicine | 404 E Main Cross St, Taylorville, IL 62568-2656 | 2007-01-11 |
| 1578171039 | Leslie D'layne Jackson | Social Worker | 43 N Cleveland St, Memphis, TN 38104-2301 | 2020-07-20 |
| 1497398218 | Leslie Denise Jackson | Advanced Practice Midwife | 1001 W Randol Mill Rd, Arlington, TX 76012-2513 | 2019-10-24 |
| 1699261826 | Leslie Aaron Jackson | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237-3111 | 2018-07-11 |
| 1083057152 | Leslie Schaad Jackson | Nurse Practitioner | 10515 Bells Ferry Rd Ste 200, Canton, GA 30114-4204 | 2013-04-09 |
| 1861753048 | Leslie L Jackson | Occupational Therapist | 9501 S King Dr, Dh 132, Chicago, IL 60628-1501 | 2012-06-04 |
| 1639379530 | Leslie Jackson | Case Manager/Care Coordinator | 2689 Sierra Hwy, Rosamond, CA 93560-6053 | 2007-07-19 |
| Street Address |
650 FULTON ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11217-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336113398 | Brooklyn Plaza Medical Center, Inc. | Clinic/Center | 650 Fulton St, Brooklyn, NY 11217-1517 | 2006-02-15 |
| 1992367452 | Migdalia Hernandez | Counselor | 650 Fulton St, Brooklyn, NY 11217-1517 | 2019-07-05 |
| 1154985745 | Samantha Smith | Counselor | 650 Fulton St, Brooklyn, NY 11217-1517 | 2019-04-29 |
| 1447791132 | Brooklyn Plaza Medical Center | Clinic/Center | 650 Fulton St, Brooklyn, NY 11217-1517 | 2017-03-14 |
| 1225484355 | Reham A Dabiesh | Dentist | 650 Fulton St, Brooklyn, NY 11217-1517 | 2016-05-07 |
| 1417318411 | Jacqueline Pierre | Dentist | 650 Fulton St, Brooklyn, NY 11217-1517 | 2016-03-17 |
| 1366830242 | Brooklyn Plaza Medical Center, Inc | Social Worker | 650 Fulton St, Brooklyn, NY 11217-1517 | 2014-12-31 |
| 1205241155 | Nan-tsun Lai | Pediatrics | 650 Fulton St, Brooklyn, NY 11217-1517 | 2014-06-29 |
| 1952724866 | Bair Cadet | Internal Medicine | 650 Fulton St, Brooklyn, NY 11217-1517 | 2014-01-28 |
| 1215360177 | Jercienne Laurencin | Nurse Practitioner | 650 Fulton St, Brooklyn, NY 11217-1517 | 2013-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350195 | Northeast Orthopedic Network | Durable Medical Equipment & Medical Supplies | 41 Flatbrush Ave, Floors 1 & 2, Brooklyn, NY 11217 | 2020-09-09 |
| 1912557349 | Meisel Np In Psychiatry, Pllc | Clinic/Center | 38 8th Avenue, 1st Fl Suite 10, Brooklyn, NY 11217 | 2019-09-17 |
| 1790254084 | Jessica Levy | Social Worker | 2-4 Nevins St., Brooklyn, NY 11217 | 2018-11-16 |
| 1700353638 | Karen Gibbons | Art Therapist | 280 Nevins St., Brooklyn, NY 11217 | 2018-10-29 |
| 1396227740 | Tanvi Dodia Acupuncture Pllc | Acupuncturist | 694 Sackett Street Apt 2, Brooklyn, NY 11217 | 2018-09-02 |
| 1437680873 | Cynthia Cater | Licensed Practical Nurse | 30 3rd Avenue Apt. 847, Brooklyn, NY 11217 | 2017-03-27 |
| 1427596857 | Edg Dental PC | Dentist | 31 Eighth Avenue,suite #1, Brooklyn, NY 11217 | 2017-02-06 |
| 1437506284 | Alternative Optometry for Vision Development P.C. | Optometrist | 40 8th Avenue, Brooklyn, NY 11217 | 2016-05-23 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1831579341 | Christine Lynn Viner | Student in an Organized Health Care Education/Training Program | 63a 7th Ave, Brooklyn, NY 11217 | 2015-06-01 |
| Find all providers in zip 11217 | ||||
| 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 |
|---|---|---|---|---|
| 1770181190 | Kendall Johnson-smith | Social Worker | 108 Kenilworth Place, Comm. 2, Brooklyn, NY 11210-2439 | 2020-10-16 |
| 1316545700 | Emily Rogers | Social Worker | 28 Meserole St Apt 3, Brooklyn, NY 11206-3191 | 2020-10-16 |
| 1841898749 | Deena Grossman | Social Worker | 1014 E 29th St, Brooklyn, NY 11210-3744 | 2020-10-13 |
| 1932706413 | Brooklyn Healthy Mind 360- Nurse Practitioner In Psychiatry Pllc | Social Worker | 26 Court St Ste 409, Brooklyn, NY 11242-1134 | 2020-10-07 |
| 1184221897 | Alexandre David Bauman | Social Worker | 151 Guernsey St Apt 1r, Brooklyn, NY 11222-2848 | 2020-10-06 |
| 1538766308 | Malky Katz | Social Worker | 1621 58th St, Brooklyn, NY 11204-2174 | 2020-10-05 |
| 1881291029 | Andrea M Harris-kornblith | Social Worker | 324 Prospect Ave Apt 1l, Brooklyn, NY 11215-5526 | 2020-10-01 |
| 1255938494 | Juniper Therapeutic Services LLC | Social Worker | 524 Lafayette Ave Apt 4, Brooklyn, NY 11205-4948 | 2020-10-01 |
| 1154938512 | Victor Furtick | Social Worker | 461 Dean St Apt 12p, Brooklyn, NY 11217-4144 | 2020-09-29 |
| 1700493376 | Coral Hain | Social Worker | 830 Marcy Ave Apt 2, Brooklyn, NY 11216-1524 | 2020-09-28 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on MS. LESLIE J 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.