MR. PHILLIP R JACKSON


Address: 16551 E Warren Ave, Detroit, MI 48224-2742
Phone: 3133320731

MR. PHILLIP R JACKSON (NPI# 1770920928) 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) 1770920928
Entity Type Individual
Full Name MR. PHILLIP R JACKSON
Credential SOCIAL WORKER
Practice Address 16551 E Warren Ave
Detroit
MI 48224-2742
Practice Telephone 3133320731
Practice Fax Number 3133320758
Mailing Telephone 3133320731
Mailing Fax Number 3133320758
Enumeration Date 2013-05-29
Last Update Date 2013-05-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
6801033152 MI Behavioral Health & Social Service Providers

Other Providers PHILLIP JACKSON

NPI Name Taxonomy Address Enumeration
1265576581 Phillip Gaynor Jackson Internal Medicine 5500 Rockton Wood Way Sw, Atlanta, GA 30331-8904 2007-02-19
1548227481 Phillip Corey Jackson Family Medicine 1417 Gladden St, Harrison, AR 72601-5121 2006-04-26
1023088895 Phillip Jackson Emergency Medicine 4609 Schwerin Lake Dr, Corpus Christi, TX 78413-5255 2006-01-25
1770933855 Phillip Jackson Community Health Worker 1801 Vicente St, San Francisco, CA 94116-2923 2016-06-20
1619271236 Phillip Jackson Behavioral Analyst 14447 S Bensley Ave, Burnham, IL 60633-2224 2010-12-23

Office Location

Street Address 16551 E WARREN AVE
City DETROIT
State MI
Zip Code 48224-2742

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861730467 Currie Adult Day Care Point of Service 16551 E Warren Ave, Detroit, MI 48224-2742 2013-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508403767 Renia Scott Licensed Practical Nurse 5211 Berkshire St, Detroit, MI 48224 2019-12-06
1063928612 Edith Neely-harris Registered Nurse 1203 Courville Street, Detroit, MI 48224 2017-12-19
1043767585 Annette Jackson Counselor 10666 Duprey St, Detroit, MI 48224 2016-09-01
1164977807 Dehvin White-peck Technician, Other 4529 Harvard Rd, Detroit, MI 48224 2016-08-23
1992153704 Andrea Henderson Licensed Practical Nurse 9131 Bradford, Detroit, MI 48224 2016-06-02
1467807578 Venus Staffing LLC Nursing Care 5601 Devonshire Rd, Detroit, MI 48224 2016-04-26
1558795625 Rafia El-alayli Internal Medicine 9901 Whittier Ave, Detroit, MI 48224 2013-08-26
1831334259 House of Hearts Ministry, Inc. Voluntary or Charitable 11151 Worden, Detroit, MI 48224 2008-12-15
1992994636 Lilian Lai Md PC Clinic/Center 15850 E Warren Ave, Detroit, MI 48224 2007-10-18
1184845844 Tymon C Totte Dentist 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 2007-05-01
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457958811 Jeana L Rooks Social Worker 19340 Riverview St, Detroit, MI 48219-4684 2020-10-07
1457966749 Crystal Radford Social Worker 229 Riverside Dr, Detroit, MI 48215-3010 2020-09-13
1285248799 Lachonta Alise Conley Social Worker 12594 Promenade St, Detroit, MI 48213-1416 2020-09-02
1780297754 Simone D Yancy Social Worker 14247 Riverview St, Detroit, MI 48223-2414 2020-08-28
1104435460 Goddess Great Social Worker 17163 E Warren Ave, Detroit, MI 48224-2279 2020-07-23
1710501689 Matthew Vanderwindt Social Worker 3554 Yorkshire Rd, Detroit, MI 48224-2324 2020-06-05
1669091286 Evan Theodore Fulford Social Worker 19928 Lichfield Rd, Detroit, MI 48221-1363 2020-04-14
1669001335 Eric Allan Haynes Social Worker 1454 Strathcona Dr, Detroit, MI 48203-1464 2020-04-05
1629601729 Stephanie Beaton Social Worker 3011 W Grand Blvd Ste 406, Detroit, MI 48202-3011 2020-02-17
1871125781 Amalia S Miralrio Social Worker 1214 Griswold St Apt 805, Detroit, MI 48226-1816 2020-02-08
Find all providers in DETROIT

Competitor

Search similar providers

City DETROIT
Zip Code 48224

Improve Information

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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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