MS. VICTORIA CASSANDRA JACKSON (NPI# 1679984108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679984108 |
| Entity Type | Individual |
| Full Name | MS. VICTORIA CASSANDRA JACKSON |
| Practice Address |
10532 N Port Washington Rd Mequon WI 53092 |
| Practice Telephone | 2622423810 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
128624-121 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253086 | Victoria Jackson | Social Worker | 5133 Carson Allen Rd, Hope Mills, NC 28348-9399 | 2020-07-28 |
| 1992005060 | Victoria Elaine Jackson | Licensed Practical Nurse | 1501 Euclid Ave, Syracuse, NY 13224-1940 | 2010-10-23 |
| 1194901934 | Victoria Lynn Jackson | Speech-Language Pathologist | 7315 Roaring Springs Dr, Austin, TX 78736-3319 | 2008-01-10 |
| 1316558083 | Victoria Grace Jackson | Pharmacist | 844 W Fremont St, Galesburg, IL 61401-2509 | 2020-08-14 |
| 1265092415 | Victoria Jackson | Home Health Aide | 1771 E Flamingo Rd, Las Vegas, NV 89119-5155 | 2019-06-19 |
| 1053970426 | Victoria Renee Jackson | Family Medicine | 1423 N Jefferson Ave # B100, Springfield, MO 65802-1917 | 2019-06-10 |
| 1518435437 | Victoria Lynn Jackson | Registered Nurse | 4860 Y St Ste 200, Sacramento, CA 95817-2309 | 2018-11-08 |
| 1023502515 | Victoria F Jackson | Behavior Technician | 765 Pierce Dr, Columbus, OH 43223-2425 | 2018-06-18 |
| 1225569536 | Victoria Jackson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2017-03-27 |
| 1386957553 | Victoria Elizabeth Jackson | Licensed Practical Nurse | 2354 Christopher Pl, Tallahassee, FL 32308-4109 | 2010-07-16 |
| Street Address |
10532 N PORT WASHINGTON RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598134 | Sally G Hunt | Pediatrics | 10532 N Port Washington Rd, Suite 1a, Mequon, WI 53092-5563 | 2005-09-14 |
| 1144797614 | Ovation Hand Institute, LLC | Family Medicine | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2018-11-01 |
| 1548713506 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2016-07-26 |
| 1295100337 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2015-12-01 |
| 1154742880 | Larry E Taylor | Psychologist | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-12-24 |
| 1366873598 | Peggy Nowicki | Counselor | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-12-13 |
| 1750711321 | Holly Kay Hallada | Counselor | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-11-19 |
| 1669712691 | Tiffany Ann Stark | Social Worker | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-02-28 |
| 1295012805 | Stefanie Carol Palmer | Counselor | 10532 N Port Washington Rd, Ste 1b, Mequon, WI 53092-5563 | 2011-11-10 |
| 1811272123 | Mary E Barrett | Counselor | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2011-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| 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 |
|---|---|---|---|---|
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1811255482 | Linda Marie Szafranski | Social Worker | 1317 Towne Square Road, Mequon, WI 53092 | 2012-05-02 |
| 1891084133 | Alan Stuart Wolkenstein | Social Worker | 800 W Dandelion Ln, 800 W. Dandelion Lane, Mequon, WI 53092-3302 | 2011-04-06 |
| 1285883868 | Melissa G Hale | Social Worker | 14135 N. Cedarburg Rd, Mequon, WI 53097-1416 | 2008-09-18 |
| 1205953338 | Barbara J Ferket | Social Worker | Galleria Off Bldg #107, 11431 Port Washington Rd, Mequon, WI 53092 | 2007-03-23 |
| 1659442259 | Laurie Berg Pasch | Social Worker | 10303 N Pt Washington Road, Suite #208, Mequon, WI 53092 | 2006-11-13 |
| 1669555231 | William J Wenerowicz | Social Worker | 1240 W Ranchito Lane, American Behavioral Clinics, Mequon, WI 53092 | 2006-10-24 |
| 1760598221 | Jennifer R Pfannerstill Purnell | Social Worker | 1655 W Mequon Rd, Mequon, WI 53092-3254 | 2006-08-21 |
| 1982614798 | Mark Alan Morrison | Social Worker | 11518 N Port Washington Rd Ste 202, Mequon, WI 53092-3443 | 2006-08-08 |
| 1447884721 | Jessica Wolfe | Social Worker | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-02-26 |
| Find all providers in MEQUON | ||||
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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.