KIM N JACKSON (NPI# 1861987331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861987331 |
| Entity Type | Individual |
| Full Name | KIM N JACKSON |
| Practice Address |
1900 N Howard St Ste 300 Baltimore MD 21218-5909 |
| Practice Telephone | 4434386742 |
| Mailing Telephone | 4434386742 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | G10538 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 383876389 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415464 | Kim B Jackson | Massage Therapist | 29 Glen Cove Ave Ste 212, Glen Cove, NY 11542-2831 | 2020-10-18 |
| 1841706835 | Kim Yvette Jackson | Non-emergency Medical Transport (VAN) | 2101 Hickory Hill Dr, Mansfield, TX 76063-2070 | 2017-12-28 |
| 1801215595 | Kim E Jackson | Marriage & Family Therapist | 1337 Forest Dr, Louisville, KY 40219-1418 | 2014-04-10 |
| 1285944637 | Kim Janice Jackson | Licensed Practical Nurse | 1135 East 82nd Street, Brooklyn, NY 11236 | 2010-10-19 |
| 1285177261 | Kim Jackson | Rehabilitation Practitioner | 201 E 16th Ave, 206, Anchorage, AK 99501-5265 | 2016-11-23 |
| 1902257389 | Kim Jackson | Community Health Worker | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2016-06-27 |
| 1285933176 | Kim Marie Jackson | Counselor | 2109 S Highway 69, Wagoner, OK 74467-9310 | 2011-03-18 |
| 1003126699 | Kim M Jackson | Social Worker | 3737 Lander Road, Pepper Pike, OH 44124-5712 | 2010-10-15 |
| 1033143581 | Kim Jackson | Nurse Practitioner | 1000 Locust St, Reno, NV 89502-2597 | 2006-07-10 |
| Street Address |
1900 N HOWARD ST STE 300 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265971139 | Amber Rei Samson | Counselor | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2017-02-13 |
| 1780283028 | Ernestine N Peah | Social Worker | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2020-10-19 |
| 1093332892 | Brianna B Beard | Social Worker | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2020-06-29 |
| 1033735410 | Lakeitha Danielle Cabbagestalk | Social Worker | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2020-06-22 |
| 1649895749 | Malik Davon Johnson | Counselor | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2020-06-15 |
| 1780207431 | Alma Mayban | Social Worker | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2020-05-28 |
| 1891318671 | Latasha Eyvonne Pennant | Counselor | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2020-05-27 |
| 1467074096 | Angelique T Black Mckoy | Counselor | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2020-05-18 |
| 1730700071 | Nakia S Williams | Counselor | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2020-04-28 |
| 1801417266 | Nina Marie Arroyo | Counselor | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801915 | Cheldone Levonne Jones | Social Worker | 1900 N Howard St # 300, Baltimore, MD 21218-5909 | 2020-11-05 |
| 1427655224 | Andrea Eve Grushka | Social Worker | 807 N Howard St, Baltimore, MD 21201-4888 | 2020-10-05 |
| 1861005829 | Lisa Denise Fisher | Social Worker | 103 Old Court Rd Ste A, Baltimore, MD 21208-4002 | 2020-08-28 |
| 1184233405 | Theresa M Foster | Social Worker | 5601 Loch Raven Blvd Ste 103, Baltimore, MD 21239-2945 | 2020-07-23 |
| 1780206623 | Leah Hairston | Social Worker | 822 Guilford Ave # 740, Baltimore, MD 21202-3707 | 2020-05-14 |
| 1740814367 | Latonuia Patrice Jones | Social Worker | 4004 Ridgecroft Rd, Baltimore, MD 21206-5030 | 2020-02-24 |
| 1093352916 | Mallory Anna Wood | Social Worker | 4805 Garrison Blvd Fl 1, Baltimore, MD 21215-5695 | 2019-12-10 |
| 1225674815 | Lyndsey Ellen Williams | Social Worker | 928 Binney St, Baltimore, MD 21224-4703 | 2019-11-19 |
| 1952943169 | Jordan Brunson | Social Worker | 1627 Waverly Way Apt E, Baltimore, MD 21239-2311 | 2019-10-09 |
| 1568012771 | Omolola Adekoya | Social Worker | 7746 Eastdale Rd, Baltimore, MD 21224-2013 | 2019-09-19 |
| Find all providers in BALTIMORE | ||||
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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.