MRS. ROBIN MICHELLE JACKSON (NPI# 1912212705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912212705 |
| Entity Type | Individual |
| Full Name | MRS. ROBIN MICHELLE JACKSON |
| Credential | LCSW |
| Practice Address |
2126 N 1st St Ste F Jacksonville AR 72076-2868 |
| Mailing Address |
1815 Pleasant Grove Rd Jonesboro AR 72401-7870 |
| Practice Telephone | 5019825000 |
| Practice Fax Number | 5019825007 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2018-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6536-C | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 191705795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568909893 | Robin Jackson | Pharmacist | 5060 Raymond Avenue, Tupelo, MS 38801-3880 | 2017-01-25 |
| 1508134982 | Robin M Jackson | Nurse Practitioner | 1782 W Hammer Ln # 3, Stockton, CA 95209-2922 | 2011-12-13 |
| 1831210400 | Robin Dorothy Jackson | Specialist | 8601 N Division St Ste I, Spokane, WA 99208-5915 | 2007-04-02 |
| 1720647670 | Robin Jackson | Registered Nurse | 21121 Christina Dr, Matteson, IL 60443-3003 | 2019-06-12 |
| 1821582776 | Robin Elaine Jackson | Counselor | 25 Whitney Dr Ste 122, Milford, OH 45150-8400 | 2018-06-14 |
| 1942717632 | Robin Freeman Jackson | Registered Nurse | 115 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2018-01-04 |
| 1174036677 | Robin Suzette Jackson | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-11-07 |
| 1669922670 | Robin Jackson | Nurse Practitioner | 830 S Gloster St, 4th Floor East Tower, Tupelo, MS 38801-4934 | 2016-10-13 |
| 1447607205 | Robin Jackson | Counselor | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2016-05-20 |
| 1245553635 | Robin Lashawn Jackson | Nurse Practitioner | 1500 Weiss St, Saginaw, MI 48602-5251 | 2010-03-12 |
| Street Address |
2126 N 1ST ST STE F |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073529491 | Andrea Stiles | Social Worker | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2006-07-31 |
| 1548861180 | Terrill A Taylor | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-11-02 |
| 1437756376 | Rickeal Nelson | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-10-05 |
| 1346847290 | Kayla Daniell Carter | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-10-05 |
| 1720694250 | Whitney Jenkins | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-09-21 |
| 1598377210 | Kodi Carroll Avera | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-08-24 |
| 1114553351 | Denisse Pollo | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-03-19 |
| 1649806886 | Latoya Williams | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-03-19 |
| 1053944496 | Pamela Sue Bagwell | Social Worker | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-02-13 |
| 1396385712 | Avanlea Furr | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| 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] |
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|---|---|---|---|---|
| 1336748193 | Sophia Venditti | Social Worker | 2598 Post St # 1, Jacksonville, FL 32204-4256 | 2020-10-22 |
| 1629676093 | My Journey, LLC | Social Worker | 13453 N Main St Ste 204, Jacksonville, FL 32218-2773 | 2020-10-16 |
| 1104423524 | Sonya Young | Social Worker | 920 Bridier St, Jacksonville, FL 32206-5904 | 2020-10-08 |
| 1043823115 | Sierra Lashonda Murray | Social Worker | 9246 Thunderbolt Dr, Jacksonville, FL 32221-8052 | 2020-08-28 |
| 1235741901 | Deidra Lewis | Social Worker | 4480 Deerwood Lake Pkwy Unit 134, Jacksonville, FL 32216-2255 | 2020-08-23 |
| 1497365456 | Darlene Denise Rolle- Cargill | Social Worker | 14050 Integra Dr Apt 420, Jacksonville, FL 32218-2592 | 2020-08-05 |
| 1689282626 | Andrea Kristin Perkinson | Social Worker | 128 Plow Point Ln, Jacksonville, NC 28546-9591 | 2020-07-15 |
| 1255956371 | Noel Roman | Social Worker | 11775 Carson Lake Dr W, Jacksonville, FL 32221-3812 | 2020-06-15 |
| 1285257535 | Phaith Coaching & Counseling, LLC | Social Worker | 4940 Emerson St, Jacksonville, FL 32207-4963 | 2020-05-21 |
| 1407478613 | Mara's Lighthouse Counseling Center, LLC | Social Worker | 6015 Morrow St E Ste 114, Jacksonville, FL 32217-2125 | 2020-05-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
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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.