KEANU MALIQ JACKSON


Address: 19 W 34th St, New York, NY 10001-3006
Phone: 3476255020

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 109575 NY Behavioral Health & Social Service Providers

Office Location

Street Address 19 W 34TH ST
City NEW YORK
State NY
Zip Code 10001-3006

Providers in the same location

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
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Providers in the same zip code

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
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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
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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Competitor

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City NEW YORK
Zip Code 10001

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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.

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