ROBERTA JACKSON (NPI# 1821145137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821145137 |
| Entity Type | Individual |
| Full Name | ROBERTA JACKSON |
| Credential | LBSW |
| Practice Address |
2100 Bull St Columbia SC 29201-2104 |
| Mailing Address |
Po Box 11921 Columbia SC 29211-1921 |
| Practice Telephone | 8039355572 |
| Practice Fax Number | 8039355566 |
| Mailing Telephone | 8039355572 |
| Mailing Fax Number | 8039355566 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2120 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457502346 | Roberta Ann Jackson | Massage Therapist | 294 Bay St, Taunton, MA 02780-1834 | 2008-10-09 |
| 1043232655 | Roberta D Jackson | Counselor | 2316 St Matthews Road, Orangeburg, SC 29118 | 2006-07-24 |
| 1760013353 | Roberta Marie Jackson | Social Worker | 123 W 124th St, New York, NY 10027-4920 | 2020-01-31 |
| 1073641213 | Roberta A Jackson | Speech-Language Pathologist | 310 N. Riverpoint Blvd, Box V, Spokane, WA 99202-1675 | 2007-03-01 |
| 1295798866 | Roberta L Jackson | Radiology | 842 E Main St, Medford, OR 97504-7134 | 2006-04-06 |
| Street Address |
2100 BULL ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538198676 | Shalini Mittal | Internal Medicine | 2100 Bull St, Columbia, SC 29201-2104 | 2006-07-01 |
| 1881252153 | Mae Parker Sparrow | Registered Nurse | 2100 Bull St, Columbia, SC 29201-2104 | 2019-06-03 |
| 1861988081 | Jessica Lynn Tillman | Registered Nurse | 2100 Bull St, Columbia, SC 29201-2104 | 2018-07-11 |
| 1568952315 | Janet Duff | Registered Nurse | 2100 Bull St, Columbia, SC 29201-2104 | 2018-05-17 |
| 1982119426 | Tarcia Keynia Hill | Registered Nurse | 2100 Bull St, Columbia, SC 29201-2104 | 2017-12-06 |
| 1922512524 | Hazel Lucile Keels | Registered Nurse | 2100 Bull St, Columbia, SC 29201-2104 | 2017-11-20 |
| 1427574276 | Victoria Ladd | Registered Nurse | 2100 Bull St, Columbia, SC 29201-2104 | 2017-08-14 |
| 1851825517 | Teresa Harris | Registered Nurse | 2100 Bull St, Columbia, SC 29201-2104 | 2017-04-19 |
| 1598205304 | Tina Maria Skinner | Registered Nurse | 2100 Bull St, Columbia, SC 29201-2104 | 2017-02-27 |
| 1619326147 | Natasha Wright | Registered Nurse | 2100 Bull St, Columbia, SC 29201-2104 | 2016-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| 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 |
|---|---|---|---|---|
| 1699396135 | Elana Patrice Bouldin | Social Worker | 5570 Sterrett Pl Ste 205, Columbia, MD 21044-2649 | 2020-05-06 |
| 1659992998 | Stacey Denise Mcphail | Social Worker | 5402 Magnolia Park Cir, Columbia, SC 29206-1164 | 2020-04-28 |
| 1205455912 | Jordan Desai | Social Worker | 826 Maple St, Columbia, SC 29205-1732 | 2020-04-13 |
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1740810183 | Shannon Jean Haynes | Social Worker | 755 Viola Ct, Columbia, SC 29229-7089 | 2020-01-24 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1427697523 | Elizabeth Lynn Meritt | Social Worker | 7344 Eden Brook Dr Apt 928, Columbia, MD 21046-1288 | 2020-01-06 |
| 1134762735 | Scott Buis | Social Worker | 2120 E Business Loop 70, Columbia, MO 65201-5504 | 2019-10-26 |
| 1295378859 | Andrea Terese Rule | Social Worker | 210 W Sand Bank Rd Ste 14, Columbia, IL 62236-1044 | 2019-10-25 |
| 1710529144 | Christine M Lero | Social Worker | 1604 Pickard Way, Columbia, MO 65203-4722 | 2019-10-17 |
| Find all providers in COLUMBIA | ||||
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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.