JADE MONIQUE MIXON (NPI# 1851883953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851883953 |
| Entity Type | Individual |
| Full Name | JADE MONIQUE MIXON |
| Credential | LCSW |
| Practice Address |
3915 Outlook Blvd Ste B2 Pueblo CO 81008-2604 |
| Mailing Address |
1058 S Avenida Del Oro E Pueblo West CO 81007-2072 |
| Practice Telephone | 7195695653 |
| Mailing Telephone | 7195695653 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW.09924361 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1302 Chinook Ln, Pueblo, CO 810011851 | 7195452746 | 7195840110 |
| Street Address |
3915 OUTLOOK BLVD STE B2 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336785294 | Essential Counseling Services, Pllc | Social Worker | 3915 Outlook Blvd Ste B2, Pueblo, CO 81008-2604 | 2019-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| 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 |
|---|---|---|---|---|
| 1366060212 | Christopher Paul Beltran | Social Worker | 5825 Mark Twain Ln, Pueblo, CO 81008-9712 | 2020-07-08 |
| 1295208858 | Elizabeth A Miera | Social Worker | 4718 N Elizabeth St Ste E, Pueblo, CO 81008-2080 | 2019-01-07 |
| 1780187245 | Pauline Mae Boyd | Social Worker | 6175 S Interstate 25, Pueblo, CO 81004-9731 | 2018-03-12 |
| 1801284526 | Maria Mora | Social Worker | 1810 Lynwood Ln, Pueblo, CO 81005-2406 | 2015-01-05 |
| 1447547450 | Susan Lynn Lusero | Social Worker | 12 Barrington Ct, Pueblo, CO 81005-3517 | 2011-06-29 |
| 1548554918 | Brandon Rick | Social Worker | 56 Tierra Casa Dr, Pueblo, CO 81005-9773 | 2011-06-02 |
| 1952606154 | Cathie Bonham | Social Worker | 503 N Main St Ste 711, Pueblo, CO 81003-3178 | 2011-01-19 |
| 1659672632 | Moses Edward Vigil | Social Worker | 208 W 8th St, Pueblo, CO 81003-3023 | 2010-11-08 |
| 1083841944 | Janet Dodson | Social Worker | 4 Montebello Rd, Pueblo, CO 81001-1237 | 2009-06-18 |
| 1669606356 | Ignacio Garcia-baros | Social Worker | 1848 Settlers Dr, Pueblo, CO 81008-1833 | 2009-05-08 |
| Find all providers in PUEBLO | ||||
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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.