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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801033152 | MI | Behavioral Health & Social Service Providers |
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 |
Street Address |
16551 E WARREN AVE |
City | DETROIT |
State | MI |
Zip Code | 48224-2742 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861730467 | Currie Adult Day Care | Point of Service | 16551 E Warren Ave, Detroit, MI 48224-2742 | 2013-01-17 |
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 |
Find all providers in zip 48224 |
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 |
---|---|---|---|---|
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 |
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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.