JESSICA GRANT (NPI# 1700210226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700210226 |
| Entity Type | Individual |
| Full Name | JESSICA GRANT |
| Credential | LICSW |
| Practice Address |
1430 North Hwy Jackson MN 56143-1093 |
| Practice Telephone | 5078472420 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 008365 | IA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447651906 | Jessica Regina Grant | Counselor | 66 Canal St., Boston, MA 02114 | 2014-09-15 |
| 1427613116 | Jessica Grant | Counselor | 4449 State Route 159, Chillicothe, OH 45601-8620 | 2019-05-08 |
| 1760975320 | Jessica Grant | Advanced Practice Midwife | 3 Hospital Dr Ste 312, Lewisburg, PA 17837-8909 | 2018-06-08 |
| 1467897850 | Jessica Grant | Counselor | 312 Ne 28th St, Suite 101, Oklahoma City, OK 73105-2804 | 2013-04-30 |
| 1659633592 | Jessica Grant | Speech-Language Pathologist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-06-15 |
| 1831420439 | Jessica R Grant | Physician Assistant | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2010-01-20 |
| 1730413725 | Jessica Ann Grant | Social Worker | 130 Condor St, East Boston, MA 02128-1305 | 2009-09-24 |
| 1699850057 | Jessica J Grant | Pediatrics | 2 W 86th St, Suite 3b, New York, NY 10024-3666 | 2006-10-26 |
| 1376527085 | Jessica Grant | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2005-12-06 |
| Street Address |
1430 NORTH HWY |
| City | JACKSON |
| State | MN |
| Zip Code | 56143-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922088855 | Ronald F Kline | Emergency Medicine | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-01-18 |
| 1275148009 | Brittany Ann Dahl | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2020-09-09 |
| 1831603166 | Michelle Lee Evans | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2017-11-22 |
| 1336687425 | Johanna Kallemeyn | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2017-02-08 |
| 1700335551 | Polina B Rivera | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2016-09-21 |
| 1669783106 | Habiba Alero Ikoghode | Family Medicine | 1430 North Hwy, Jackson, MN 56143-1093 | 2010-06-30 |
| 1871823179 | Denise Heupel | Nurse Anesthetist, Certified Registered | 1430 North Hwy, Jackson, MN 56143-1093 | 2010-01-08 |
| 1487840005 | Erika Freking | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2007-09-18 |
| 1487717039 | Sioux Valley Regional Health Services | Clinic/Center | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-12-18 |
| 1811901531 | Sanford Health Network | General Acute Care Hospital | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063576965 | Jackson County Central Schools | Local Education Agency (LEA) | Jackson County Central Schools, 1128 North Highway, Jackson, MN 56143 | 2006-12-22 |
| 1609952027 | Susan Marie Back | Psychologist | 116 County Road 34 W, Jackson, MN 56143 | 2006-10-27 |
| 1992805204 | Kevin John Dunlavey | Dentist | 607 2nd St, Jackson, MN 56143 | 2006-09-25 |
| 1285978221 | Paul Anthony Roggow | Dentist | 604 Second Street, Jackson, MN 56143 | 2012-11-15 |
| 1083896716 | Shopko Stores Operating Co LLC | Pharmacy | 506 2nd St, Jackson, MN 56143 | 2007-12-05 |
| 1053456889 | Jackson Drug Co | Durable Medical Equipment & Medical Supplies | 506 2nd St, Jackson, MN 56143-0233 | 2007-02-20 |
| 1811915648 | Jackson Volunteer Ambulance | Ambulance | 305 Sheridan Str, Jackson, MN 56143-0242 | 2006-07-18 |
| 1750378758 | Sister Marie Paul Lockerd | Family Medicine | 803 4th St, Jackson, MN 56143-1056 | 2005-10-04 |
| 1407065824 | Desmoines Valley Bhs | Clinical Nurse Specialist | 803 4th St, Jackson, MN 56143-1056 | 2007-05-22 |
| 1942426689 | Margaret Jean Hart | Family Medicine | 803 4th St, Jackson, MN 56143-1056 | 2007-04-18 |
| Find all providers in zip 56143 | ||||
| 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 |
|---|---|---|---|---|
| 1013518430 | Millie Mitchell | Social Worker | 321 Woodland Dr, Jackson, AL 36545-2438 | 2020-11-03 |
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1760098487 | Dominique Yvette Thomatis-williams | Social Worker | 4 Creekwood Pl, Jackson, MS 39211-2929 | 2020-09-17 |
| 1417567215 | Angela Edward | Social Worker | 413 Seymour Ave, Jackson, MI 49202-3562 | 2020-08-06 |
| 1952926677 | Kayleen Marie Shaw | Social Worker | 4152 County Road 436, Jackson, MO 63755-8411 | 2020-06-09 |
| 1538798327 | Willie Patrice Jenkins | Social Worker | 108 Parks Rd, Jackson, MS 39212-9626 | 2020-04-03 |
| 1184251555 | Yasmeen Patricia Eichelberger | Social Worker | 510 George St, Ste 201, Jackson, MS 39202-3027 | 2020-03-25 |
| 1902431612 | Harriet Phyllis Kazansky | Social Worker | 4 Hazeltine Ln, Jackson, NJ 08527-4045 | 2020-03-03 |
| 1750915229 | Kacey Pepin | Social Worker | 3027 Wildwood Ave, Jackson, MI 49202-3938 | 2020-02-24 |
| 1831729433 | Rachel Kornilakis | Social Worker | 729 W Michigan Ave # 200, Jackson, MI 49201-1920 | 2020-01-22 |
| Find all providers in JACKSON | ||||
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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.