KATHRYN JACKSON (NPI# 1710478144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710478144 |
| Entity Type | Individual |
| Full Name | KATHRYN JACKSON |
| Credential | LCSW-C |
| Practice Address |
18331 Wolfpack Way Hagerstown MD 21740-3583 |
| Practice Telephone | 2404052275 |
| Mailing Telephone | 2404052275 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609048735 | Kathryn Martin Jackson | Speech-Language Pathologist | 1879 E Robinson Ave, Springdale, AR 72764-5713 | 2008-03-28 |
| 1780661694 | Kathryn Jackson | Registered Nurse | 6002 Westgate Blvd Ste 274, Tacoma, WA 98406-2571 | 2005-12-30 |
| 1528053816 | Kathryn Horton Jackson | Pharmacist | 5445 Meridian Marks Rd Ne, Suite 190, Atlanta, GA 30342-4763 | 2005-09-13 |
| 1649888314 | Kathryn Jackson | Speech-Language Pathologist | 7281 W Charleston Blvd, Las Vegas, NV 89117-1592 | 2020-07-20 |
| 1659936607 | Kathryn Marie Jackson | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2019-05-06 |
| 1558829861 | Kathryn Jackson | Behavioral Analyst | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2019-03-05 |
| 1942707914 | Kathryn Elizabeth Jackson | Occupational Therapist | 905 Arrowhead Trl, Warner Robins, GA 31088-5390 | 2018-04-06 |
| 1447632922 | Kathryn Miles Jackson | Audiologist | 1505 Sw Cary Pkwy, Suite 301, Cary, NC 27511-6219 | 2015-06-22 |
| 1295160091 | Kathryn Jackson | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2013-09-11 |
| 1093157919 | Kathryn Lynelle-tudor Jackson | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-07-19 |
| Street Address |
18331 WOLFPACK WAY |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-3583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718000 | Jackson Mental Health | Social Worker | 18331 Wolfpack Way, Hagerstown, MD 21740-3583 | 2020-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| 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 |
|---|---|---|---|---|
| 1780218735 | Trauma Clinicians, LLC | Social Worker | 22 N Mulberry St Ste 120, Hagerstown, MD 21740-4870 | 2020-02-28 |
| 1013575398 | Victoria Leizer | Social Worker | 5 Public Sq # 428, Hagerstown, MD 21740-5528 | 2019-06-03 |
| 1821561515 | Jennifer Lee Canby | Social Worker | 22 N Mulberry St Ste 14&120, Hagerstown, MD 21740-4870 | 2019-01-06 |
| 1699281840 | Kenneth Edward Stewart | Social Worker | 13245 Dusty Ln, Hagerstown, MD 21740-7556 | 2017-12-26 |
| 1942650692 | Strong Families Strong People, LLC | Social Worker | 6 Public Sq Ste 100, Hagerstown, MD 21740 | 2016-06-14 |
| 1568817831 | Kristen Vorlaufer | Social Worker | 7 N. Potomac Street Change Health Systems, Hagerstown, MD 21740 | 2016-04-25 |
| 1104298942 | Edward Vanmetre | Social Worker | 44 N. Potomac Street, Suite 103, Hagerstown, MD 21740 | 2015-10-20 |
| 1205239951 | Danielle Mary Penland Raymond | Social Worker | 226 N Potomac St, Hagerstown, MD 21740-3813 | 2014-10-08 |
| 1598003519 | Susan Michelle Fedorko | Social Worker | 11937 Azalea Dr, Hagerstown, MD 21740-2371 | 2013-01-25 |
| 1083950513 | Emily Ellen Savoy | Social Worker | 11000 Bower Ave, Suite 12, Hagerstown, MD 21740-7652 | 2013-01-03 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on KATHRYN 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.