KEANU MALIQ JACKSON (NPI# 1740807411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740807411 |
| Entity Type | Individual |
| Full Name | KEANU MALIQ JACKSON |
| Credential | LMSW |
| Practice Address |
19 W 34th St New York NY 10001-3006 |
| Mailing Address |
435 W 119th St Apt 8c1 New York NY 10027-7110 |
| Practice Telephone | 3476255020 |
| Mailing Telephone | 7728348567 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 109575 | NY | Behavioral Health & Social Service Providers |
| Street Address |
19 W 34TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10001-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469807 | Mark Chatkin | Social Worker | 19 W 34th St, Penthouse, New York, NY 10001-3006 | 2005-07-01 |
| 1649889809 | Meridian Mental Health Counseling Pllc | Clinic/Center | 19 W 34th St, New York, NY 10001-3006 | 2020-07-23 |
| 1235757345 | Jill Suzanne Cohen | Counselor | 19 W 34th St, New York, NY 10001-3006 | 2020-07-07 |
| 1366089518 | Lisa Durham | Social Worker | 19 W 34th St, New York, NY 10001-3006 | 2019-12-06 |
| 1508414111 | Cesar Victor Rodriguez | Social Worker | 19 W 34th St, New York, NY 10001-3006 | 2019-08-27 |
| 1932756962 | Michelle Chu | Psychologist | 19 W 34th St, New York, NY 10001-3006 | 2019-08-23 |
| 1538714159 | Verdah Kazi | Counselor | 19 W 34th St, New York, NY 10001-3006 | 2019-08-09 |
| 1457913253 | Kimberly Schlosser | Social Worker | 19 W 34th St, New York, NY 10001-3006 | 2019-07-01 |
| 1730652561 | Marie Luc-earl | Social Worker | 19 W 34th St, New York, NY 10001-3006 | 2019-01-03 |
| 1295207421 | Anthony Decarlos Cephas | Social Worker | 19 W 34th St, New York, NY 10001-3006 | 2018-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627989 | Sable Tempest Sweeper | Counselor | 31 West 34th Street, 7th Floor #7058, New York, NY 10001 | 2020-10-22 |
| 1295351948 | Basha Gillian Silver | Psychologist | 544 Fifth Avenue, 10th Floor, New York, NY 10001 | 2020-06-18 |
| 1881219038 | Janice Elizabeth Williams, L.c.s.w., P.C. | Social Worker | 244 5th Ave, Suite W218, New York, NY 10001 | 2020-06-13 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1043831522 | Anderson Hong | Counselor | 352 7th Avenue, Suite 1604, New York, NY 10001 | 2020-05-06 |
| 1689207193 | Emely Castillo | Registered Nurse | 116 W 32nd St, New York, New York, New York, NY 10001 | 2020-02-13 |
| 1447890629 | William Howard Critzman IIi | Clinic/Center | 7 W 30th St. 10th Floor, New York, NY 10001 | 2020-01-15 |
| 1811533201 | Jacqueline Furst | Social Worker | 138 West 25th Street, 6th Floor, /suite 22, New York, NY 10001 | 2019-11-21 |
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1437709896 | Hannah Murray Starobin | Social Worker | 302 5th Avenue, 8th Floor #2, New York City, NY 10001 | 2019-09-18 |
| Find all providers in zip 10001 | ||||
| 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 |
|---|---|---|---|---|
| 1386245215 | Vanessa Salazar | Social Worker | 55 E 115th St Apt 3i, New York, NY 10029-1179 | 2020-11-06 |
| 1295335982 | Nita Batta | Social Worker | 225 Broadway Ste 2070, New York, NY 10007-3001 | 2020-10-30 |
| 1942809249 | Mekala Poppy Pavlin | Social Worker | 275 W 96th St Apt 23e, New York, NY 10025-6269 | 2020-10-19 |
| 1922606748 | Sally Schuss | Social Worker | 317 Lenox Ave Fl 5, New York, NY 10027-4453 | 2020-10-14 |
| 1982202685 | Josephine Jung-ah Suh | Social Worker | 274 Madison Ave Rm 1501, New York, NY 10016-0701 | 2020-10-14 |
| 1871100099 | Joseph Robert Hudson | Social Worker | 161 E 25th St Apt 2b, New York, NY 10010-2329 | 2020-09-30 |
| 1710594981 | Barbra Teater | Social Worker | 400 W 46th St Apt 3a, New York, NY 10036-9093 | 2020-09-30 |
| 1285241059 | Rachel Easterly | Social Worker | 255 W 23rd St # 2e, New York, NY 10011-2312 | 2020-09-25 |
| 1760098545 | Meriyen Nohemi Marquez Guerra | Social Worker | 120 E 123rd St Apt 4a, New York, NY 10035-1926 | 2020-09-17 |
| 1174138119 | Cassidy M Kahn | Social Worker | 340 E 93rd St Apt 29i, New York, NY 10128-5556 | 2020-09-15 |
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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.