MISS KEIJUANNA JANEE JACKSON


Address: 2928 W 5th St, Fort Worth, TX 76107-2242
Phone: 8173326348

MISS KEIJUANNA JANEE JACKSON (NPI# 1720589773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720589773
Entity Type Individual
Full Name MISS KEIJUANNA JANEE JACKSON
Credential LMSW
Practice Address 2928 W 5th St
Fort Worth
TX 76107-2242
Mailing Address 2340 Cap Rock Ln
Fort Worth
TX 76133-8906
Practice Telephone 8173326348
Mailing Telephone 2197891899
Enumeration Date 2018-02-26
Last Update Date 2018-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 59218 TX Behavioral Health & Social Service Providers

Office Location

Street Address 2928 W 5TH ST
City FORT WORTH
State TX
Zip Code 76107-2242

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982662698 Barney Hisanaga Counselor 2928 W 5th St, Fort Worth, TX 76107-2242 2006-05-02
1710599642 Carolyn N Smythe Counselor 2928 W 5th St, Fort Worth, TX 76107-2291 2020-08-21
1306405881 Carie Wilkerson Chandler Counselor 2928 W 5th St, Fort Worth, TX 76107-2242 2019-06-10
1689199010 Teshia L Kyser Counselor 2928 W 5th St, Fort Worth, TX 76107-2242 2017-08-07
1275061152 Jessica Rose Erickson Counselor 2928 W 5th St, Fort Worth, TX 76107-2242 2017-05-23
1922423383 Mary J Harris Counselor 2928 W 5th St, Fort Worth, TX 76107 2014-02-21
1427482140 Melody G Argueta Social Worker 2928 W 5th St, Fort Worth, TX 76107-2242 2013-08-29
1003190869 Felice Mayes Counselor 2928 W 5th St, Fort Worth, TX 76107-2242 2011-09-28
1417237033 Heather Colby Social Worker 2928 W 5th St, Fort Worth, TX 76107-2242 2011-08-26
1659679181 Paris Blake Marriage & Family Therapist 2928 W 5th St, Fort Worth, TX 76107-2242 2011-03-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629683602 Renovo Wound and Hyperbarics Pllc Emergency Medicine 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 2020-09-15
1669085437 Ryan Bourgeois Nurse Practitioner 2917 Crocket Street, Fort Worth, TX 76107 2020-08-31
1053920546 Christa Marie Widjaja Optometrist 1700 Montgomery St, Fort Worth, TX 76107 2020-07-30
1093351355 Raymond Iannone Pharmacist 850 Montgomery St, Suite #310, Fort Worth, TX 76107 2019-11-21
1053963744 Cumulus Injury Resolution, Inc. Chiropractor 4936 Byers Avenue, Fort Worth, TX 76107 2019-07-12
1770135576 Shadia Osakwe Physician Assistant 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 2019-07-11
1568945442 Sachin P Patel Physical Therapist 4825 Wellesley St, Fort Worth, TX 76107 2018-09-07
1023594025 Ftw Pharmacy Services Inc Durable Medical Equipment & Medical Supplies 2912 W 6th St Ste 150, Fort Worth, TX 76107 2018-07-13
1669974325 Helen Williamson Elliott Counselor 1751 River Run #217, Fort Worth, TX 76107 2018-03-08
1487156931 Pelvic Neuromonitoring Pllc Electrodiagnostic Medicine 111 Boland St #211, Ft Worth, TX 76107 2018-03-01
Find all providers in zip 76107

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578162574 Adriane Denise Watters Social Worker 5648 Comer Dr, Fort Worth, TX 76134-2206 2020-10-21
1578187738 Glendy Belle Calderon Social Worker 6300 Ridglea Pl # 425, Fort Worth, TX 76116-5704 2020-06-03
1851925598 Kelli Susan Mitchell-wyatt Social Worker 6113 Ten Mile Bridge Rd, Fort Worth, TX 76135-1335 2020-03-02
1265063705 Melissa A White Social Worker 901 7th Ave Ste 4124, Fort Worth, TX 76104-2722 2020-02-03
1487285730 Alejandra Z Solis Social Worker 801 7th Ave # 6100, Fort Worth, TX 76104-2733 2020-01-27
1942830880 Daishai Logan Social Worker 6282 Truman Dr, Fort Worth, TX 76112-8042 2020-01-20
1073169652 Katherine Aultman Social Worker 4939 Dexter Ave, Fort Worth, TX 76107-3741 2019-08-10
1346704707 Jazmin D. Tucker Social Worker 1814 8th Ave Ste B7, Fort Worth, TX 76110-1354 2019-01-29
1871001651 Melissa Kay Miller Social Worker 1300 W Rosedale St Ste 8, Fort Worth, TX 76104-2826 2018-01-16
1093238776 April Dawn Grimes Social Worker 8553 N Beach St Ste 378, Fort Worth, TX 76244 2017-07-25
Find all providers in FORT WORTH

Competitor

Search similar providers

City FORT WORTH
Zip Code 76107

Improve Information

Please comment or provide details below to improve the information on MISS KEIJUANNA JANEE JACKSON.

Dataset Information

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.

Trending Searches