AMBER ADNEY JACKSON


Address: 221 N East Ave Ste 203, Fayetteville, AR 72701-5226
Phone: 4798569956

AMBER ADNEY JACKSON (NPI# 1912944158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912944158
Entity Type Individual
Full Name AMBER ADNEY JACKSON
Credential LCSW
Practice Address 221 N East Ave Ste 203
Fayetteville
AR 72701-5226
Practice Telephone 4798569956
Practice Fax Number 8884556401
Mailing Telephone 4798569956
Mailing Fax Number 8884556401
Enumeration Date 2006-05-31
Last Update Date 2019-01-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
1934-C AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR BLUE SHIELD PROVIDER # 5Y354 01
BEACON HEALTH 747768 01

Other Providers AMBER JACKSON

NPI Name Taxonomy Address Enumeration
1659918878 Amber Dawn Jackson Licensed Vocational Nurse 117 Sw Taylor St, Burleson, TX 76028-3813 2019-12-06
1558923052 Amber Hauoli Jackson Massage Therapist 5820 W Locksley Loop, Wasilla, AK 99623-0874 2019-07-03
1982172953 Amber Jackson Behavior Technician Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-11-08
1790224863 Amber Jackson Specialist 24 Ball Ave, Yonkers, NY 10701-5001 2017-02-22
1730429226 Amber Nicole Jackson Licensed Practical Nurse 5963 Highland View Dr, Sylvania, OH 43560 2013-02-21
1295941219 Amber Nicole Jackson Licensed Practical Nurse 1800 Claremore Ave, Pawhuska, OK 74056-1747 2007-05-15
1659970945 Amber Rose Jackson Specialist/Technologist 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 2020-10-19
1346859378 Amber Jackson Nurse Practitioner 4327 Barnett Rd, Wichita Falls, TX 76310-2303 2020-07-27
1770105967 Amber Jackson Student in an Organized Health Care Education/Training Program 300 E 6th St, Texarkana, AR 71854-5207 2020-05-11
1255966073 Amber Jackson Counselor 100 New Salem Rd Ste 116, Uniontown, PA 15401-8936 2020-03-12

Office Location

Street Address 221 N EAST AVE STE 203
City FAYETTEVILLE
State AR
Zip Code 72701-5226

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588213417 Biggers Counseling, LLC Social Worker 349 S Hill Ave, Fayetteville, AR 72701 2019-09-04
1235603200 Arkansas Holistic Health Care Chiropractic Chiropractor 2618 Mlk Jr Blvd, Fayetteville, AR 72701 2019-01-14
1225520828 Jacoby Markie Clemons Specialist/Technologist 1201 West Leroy Pond Dr, Fayetteville, AR 72701 2018-05-31
1952892390 Ambur Dryer Specialist/Technologist 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 2018-05-22
1851814230 Blakely Low Psychologist 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 2017-07-18
1518496215 Van Michael Mcqueen Jr. Dentist 640 N Garland Ave # 104, Fayetteville, AR 72701 2017-06-06
1407204217 Kenna Megan Hodeaux Specialist/Technologist 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 2016-06-02
1740634435 Crystal Susan Rofkahr Psychologist 26 E Meadow St Ste 3, Fayetteville, AR 72701 2016-04-19
1942663521 Satoshi IIda Specialist/Technologist 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 2016-04-01
1992163901 Dr Don M Chaney Dds Pa Dentist 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 2016-02-04
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700484201 Torrie Luciana Powell Social Worker 3526 Standard Dr, Fayetteville, NC 28306-8089 2020-10-15
1053918169 Activelife Counseling, LLC Social Worker 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 2020-10-02
1861004996 Roderick Eugene Brown Jr. Social Worker 2014 Litho Pl Ste 200, Fayetteville, NC 28304-2518 2020-08-19
1427667278 Valerie Russell Social Worker 6209 Lakehaven Dr, Fayetteville, NC 28304-0610 2020-07-28
1942822671 Alexis Oneal Vestal Social Worker 723 Athens Ave, Fayetteville, NC 28301-4800 2020-05-15
1346862281 Heather Marie Sroka Social Worker 690 N Reilly Rd # F, Fayetteville, NC 28303-5724 2020-05-14
1952920449 Vonetta Bethea Jackson Social Worker 391 Wagoner Drive, Fayetteville, NC 28303 2020-04-14
1730716887 Denise Rodriguez Social Worker 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 2020-03-26
1982239877 Alicia Story Social Worker 3035 Boone Trail Ext, Fayetteville, NC 28304-3992 2020-03-11
1053959619 Benlyd Colon Social Worker 2940 Breezewood Ave Ste 101-201, Fayetteville, NC 28303-5520 2019-12-13
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 72701

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Dataset Information

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.

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