ANDREA JACKSON (NPI# 1679003099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679003099 |
| Entity Type | Individual |
| Full Name | ANDREA JACKSON |
| Credential | LMSW |
| Practice Address |
306 Popula Blvd Wappingers Falls NY 12590-5712 |
| Practice Telephone | (845) 220-6428 |
| Mailing Telephone | (845) 220-6428 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 087822 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 271 North Ave, New Rochelle, NY 108015104 | 9143652359 | |
| 271 North Ave Ste 111, New Rochelle, NY 108015109 | 9143652359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568948479 | Andrea M Jackson | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2018-07-13 |
| 1912411133 | Andrea Jackson | Licensed Practical Nurse | 52 Hillside Ave, Freeport, NY 11520-1726 | 2017-11-27 |
| 1437670114 | Andrea Jackson | Nurse Practitioner | 406 W S Jordan Pkwy, South Jordan, UT 84095-3965 | 2017-07-03 |
| 1578927638 | Andrea Jackson | Licensed Practical Nurse | 1617 Woodbine Ave Se, Warren, OH 44484-4964 | 2016-04-05 |
| 1649606617 | Andrea Jeanine Jackson | Social Worker | 2036 Wood St, Muskegon, MI 49444-1153 | 2013-09-22 |
| 1225371651 | Andrea Latrell Jackson | Social Worker | 10610 N 30th St, Apt. 46h, Tampa, FL 33612-6458 | 2013-04-04 |
| 1124383765 | Andrea Luthelle Jackson | Counselor | 1501 Nw 34th St, Oklahoma City, OK 73118-3203 | 2012-07-10 |
| 1457622656 | Andrea Jasmine Jackson | Behavioral Analyst | 7715 Nw 48 St, Suite B360, Miami, FL 33166 | 2012-01-19 |
| 1306140876 | Andrea Bessie Jackson | Case Manager/Care Coordinator | 6030 S May Ave Apt 451, Oklahoma City, OK 73159-1410 | 2010-12-27 |
| 1578707204 | Andrea Denise Jackson | Dentist | 6912 Wade Ave, Clinton, MD 20735-2743 | 2009-04-24 |
| Street Address |
306 POPULA BLVD |
| City | WAPPINGERS FALLS |
| State | NY |
| Zip Code | 12590-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848316 | Andrea K Bliss | Counselor | 37 Vandewater Dr, Wappingers Falls, NY 12590 | 2020-07-15 |
| 1073084166 | Bsv Chiropractic PC | Chiropractor | 1574 Us 9, Suite 13, Wappingers Falls, NY 12590 | 2018-12-16 |
| 1053890145 | Melissa Gjokaj | Licensed Practical Nurse | 32 Booth Boulevard, Wappingers Falls, NY 12590 | 2018-08-09 |
| 1457873358 | Brendan John O'connor | Psychologist | 1289 Route 9 Ste 10, Wappingers Falls, NY 12590 | 2017-07-12 |
| 1356862395 | Mark Krumholtz II | Specialist/Technologist | 23 Kendell Drive, Wappingers Falls, NY 12590 | 2017-06-29 |
| 1881122968 | Darlene Perry | Licensed Practical Nurse | 42 Worth Gilmore Blvd., Wappingers Falls, NY 12590 | 2017-06-01 |
| 1477934685 | Anne Bridget Lopez | Dietitian, Registered | 41 Old Castle Point Road, Wappinger Falls, NY 12590 | 2015-06-12 |
| 1194153056 | Gabriela Zambrano-economico | Case Manager/Care Coordinator | 6110 Princess Circle, Wappingers Falls, NY 12590 | 2013-10-30 |
| 1861827396 | Wappingers Dental, Pllc | Dentist | 115 New Hackensack Road, Wappingers Falls, NY 12590 | 2013-09-03 |
| 1841633740 | Helene D Cohen | Counselor | 2395 Route 9d, Wappinger Falls, NY 12590 | 2013-04-10 |
| Find all providers in zip 12590 | ||||
| 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 |
|---|---|---|---|---|
| 1700483583 | Natasha Felicia Sinclair-buckham | Social Worker | 12 Seneca Ln, Wappingers Falls, NY 12590-4019 | 2020-10-05 |
| 1881948461 | Joy Katherine Gironda | Social Worker | 515 Chelsea Cay, Wappingers Falls, NY 12590-5420 | 2012-11-03 |
| 1518171404 | Gordon Owen Weiss | Social Worker | Northern Psychiatric Services, 11 Marshall Road, Ste. 2l, Wappingers Falls, NY 12590 | 2007-05-09 |
| 1033626817 | Victoria Catherine Ffrench I | Social Worker | 41 Castle Point Rd, Wappingers Falls, NY 12590-7004 | 2018-01-03 |
| 1194832782 | Janine Kren-wentworth | Social Worker | 41 Castle Point Rd, Wappingers Falls, NY 12590-7004 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1386245215 | Vanessa Salazar | Social Worker | 55 E 115th St Apt 3i, New York, NY 10029-1179 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1699376673 | Kevin James Kleinknecht | Social Worker | 4332 47th St Apt B34, Sunnyside, NY 11104-1755 | 2020-11-05 |
| 1255932372 | Shaquan Robinson | Social Worker | 118 Roeckel Ave, Valley Stream, NY 11580-3504 | 2020-11-04 |
| 1992306252 | Joseph Catalano | Social Worker | 57 Oneida Ave, South Setauket, NY 11720-1130 | 2020-11-03 |
| 1982205282 | Stephanie Lopez | Social Worker | 85 Vista Ter S, Mahopac, NY 10541-3154 | 2020-11-03 |
| 1194326611 | Rebecca Leigh Eckerson | Social Worker | 4 Woodlake Dr, Saratoga Springs, NY 12866-8844 | 2020-11-02 |
| 1760083299 | Alena Nazarova | Social Worker | 7802 Bay Pkwy, Brooklyn, NY 11214-1508 | 2020-11-02 |
| 1306447966 | Juliana Pepaj | Social Worker | 13835 Elder Ave Apt 5g, Flushing, NY 11355-4068 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | WAPPINGERS FALLS |
| Zip Code | 12590 |
Please comment or provide details below to improve the information on ANDREA 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.