MRS. HOLLY JACKSON


Address: 511 W 86th Ter, Kansas City, MO 64114-2822
Phone: 8163776872

MRS. HOLLY JACKSON (NPI# 1013212711) 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) 1013212711
Entity Type Individual
Full Name MRS. HOLLY JACKSON
Credential LMSW
Practice Address 511 W 86th Ter
Kansas City
MO 64114-2822
Practice Telephone 8163776872
Mailing Telephone 8163776872
Enumeration Date 2011-01-11
Last Update Date 2011-01-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
7967 KS Behavioral Health & Social Service Providers

Other Providers HOLLY JACKSON

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1689275802 Holly Marie Jackson Technician 448 W Cooper St, Tipton, MO 65081-8217 2020-11-04
1689156721 Holly Alegro Jackson Non-emergency Medical Transport (VAN) 10550 Murat Dr, Saint Louis, MO 63136-4524 2018-09-05
1417351453 Holly Jean Jackson Licensed Practical Nurse 5a Lafayette Avenue, Canandaigua, NY 14424 2014-10-20
1083882278 Holly Jackson Licensed Practical Nurse 2040 Murray Holladay Rd Ste 205, Salt Lake City, UT 84117-5197 2008-02-11
1548753700 Holly Jean Jackson Behavior Technician 19800 Village Office Ct, Bend, OR 97702-1872 2018-06-12
1922596220 Holly Suzanne Jackson Counselor 1100 Walnut St, Owensboro, KY 42301-2956 2018-04-23
1720575392 Holly Jackson Nurse Anesthetist, Certified Registered 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2018-04-18
1427576511 Holly M Jackson Nurse Practitioner 905 Dixie St, Carrollton, GA 30117-4417 2017-09-08
1427597301 Holly Jackson Registered Nurse 1109 Jones St, Kennett, MO 63857-3824 2017-02-13
1023551223 Holly V Jackson Advanced Practice Midwife 1900 S Tuttle Ave, Sarasota, FL 34239-3114 2016-11-21

Office Location

Street Address 511 W 86TH TER
City KANSAS CITY
State MO
Zip Code 64114-2822

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164055968 Nova Home Infusion, LLC Home Infusion 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 2020-02-20
1770011017 Rene Thomsen Counselor 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 2017-05-31
1114452075 Accent Home Health Care LLC In Home Supportive Care 7817 Wornall Rd, Kansas City, MO 64114 2017-04-27
1174982599 Mei Dodson Contractor 8901 Washington St, Kansas City, MO 64114 2016-02-12
1851784805 Sarah Jeannette Gulledge Registered Nurse 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 2015-03-16
1376936591 Corey Bess Podiatrist 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 2015-03-12
1013339753 Kati Mayer Physical Therapist 10008 Walnut Dr., #202, Kansas City, MO 64114 2014-01-15
1619270311 Gavett Burch Marriage & Family Therapist 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 2010-12-18
1679873046 Ken Kidd Inc Dba Miracle-ear Hearing Instrument Specialist 1148 W. 103rd St, Kansas City, MO 64114 2010-11-01
1316264161 Elizabeth Vasquez Physician Assistant 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 2010-05-03
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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
1447850870 Convergence Counseling Services, LLC Social Worker 7612 E 113th St, Kansas City, MO 64134-2946 2020-10-26
1336756949 Megan Krystal Draper Social Worker 8425 Locust St, Kansas City, MO 64131-2223 2020-09-28
1114533411 Cheryl Gunn Seidler Social Worker 7211nw 83rd Street Suite 350, Kansas City, MO 64152-6415 2020-09-22
1871106989 Anne Mari Bethune Social Worker 1260 W 59th St, Kansas City, MO 64113-1149 2020-08-28
1922619154 Alicia D Smith Social Worker 8816 E 110th St, Kansas City, MO 64134-3036 2020-08-11
1912523119 Crystal Rose Reckker Social Worker 1204 Ne 85th Ter, Kansas City, MO 64155-2671 2020-06-23
1013530054 Carol Thoma-perry Social Worker 516 E 66th Ter, Kansas City, MO 64131-1144 2020-05-26
1972125193 Jena Fouraker Social Worker 1000 E 24th St Ste 2e, Kansas City, MO 64108-2776 2020-05-11
1568095354 Thomas Counseling LLC Social Worker 3000 Ne Brooktree Ln Ste 230, Kansas City, MO 64119-1890 2020-02-19
1942856760 Paola Maria Capra Social Worker 11509 Campbell St, Kansas City, MO 64131-3830 2019-08-16
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Competitor

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City KANSAS CITY
Zip Code 64114

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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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