CARLA L JACKSON (NPI# 1013555770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013555770 |
| Entity Type | Individual |
| Full Name | CARLA L JACKSON |
| Credential | LCSW |
| Practice Address |
3518 Tupelo Way Knoxville TN 37912-4885 |
| Practice Telephone | 2025273377 |
| Mailing Telephone | 2025273377 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9776 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053812180 | Carla Jackson | Chore Provider | 2500 Clayton St, N Las Vegas, NV 89032-3802 | 2018-02-23 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1902159080 | Carla Yolanda Jackson | Counselor | 6108 Centennial Dr, Orlando, FL 32808-1842 | 2012-10-26 |
| 1558554055 | Carla Wood Jackson | Speech-Language Pathologist | 600 W College Ave, Fsu Speech & Hearing Clinic, Tallahassee, FL 32306-1058 | 2007-08-20 |
| 1063901411 | Carla Jackson | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-05-01 |
| 1427591429 | Carla Jackson | Behavior Technician | 5816 Creedmoor Rd, Suite 104, Raleigh, NC 27612-2310 | 2016-11-22 |
| 1194142257 | Carla M. Michel Jackson | Nurse Practitioner | 1033 E Mount Pleasant Rd, Evansville, IN 47725-7149 | 2014-03-26 |
| Street Address |
3518 TUPELO WAY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37912-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098388 | Emily Katherine Hayes | Nurse Practitioner | 6626 Old Central Avenue Pike, Knoxville, TN 37912 | 2019-05-14 |
| 1063891620 | Sondra Haley | Counselor | 4610 Central Avenue Pike, Knoxville, TN 37912 | 2015-05-28 |
| 1518373257 | Andrew Clark | Case Manager/Care Coordinator | 100 Barberry Dr, Knoxville, TN 37912 | 2014-07-02 |
| 1265876940 | Annette Elise Long | Counselor | 4303 Central Ave.pike, Knoxville, TN 37912 | 2013-04-24 |
| 1346510393 | Lisa Taylor | Social Worker | 5800 Central Avenue Pike, Knoxville, TN 37912 | 2012-01-09 |
| 1447437447 | David Wesley Dickey IIi | Dentist | 5317 Clinton Hwy, Knoxville, TN 37912 | 2008-01-22 |
| 1962683573 | Eyexcel, Pllc | Optometrist | 715 Callahan Dr., Knoxville, TN 37912 | 2007-11-26 |
| 1538384995 | Chamberlain Chiropractic Clinic Inc | Chiropractor | 4409 Central Ave Pk, Suite 102, Knoxville, TN 37912 | 2007-04-13 |
| 1336232834 | Wesley Bruce Mclaughlin | Chiropractor | 2330 Merchants Dr., Knoxville, TN 37912 | 2006-10-02 |
| 1972073815 | Pell Enterprises | Home Health | 4303 Central Avenue Pike, Kno, TN 37912 | 2018-12-04 |
| Find all providers in zip 37912 | ||||
| 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 |
|---|---|---|---|---|
| 1891334397 | Melissa Kay Schenkel | Social Worker | 1239 Eiker Rd, Knoxville, IL 61448-9670 | 2019-12-31 |
| 1619514262 | Stephanie Demay | Social Worker | 3330 Sutherland Ave, Knoxville, TN 37919-4544 | 2019-12-03 |
| 1861956203 | Sarah Mcnamara | Social Worker | 117 Huxley Rd Ste B-3, Knoxville, TN 37922-3179 | 2019-01-30 |
| 1700360708 | Charles Steven Smith | Social Worker | 117 Huxley Rd Ste B3, Knoxville, TN 37922-3179 | 2018-09-17 |
| 1194231142 | Tiffany Lynn Ferree | Social Worker | 12201 W Kings Gate Rd, Knoxville, TN 37934-4631 | 2017-12-28 |
| 1932613940 | Hannah Snelling | Social Worker | 114 Dameron Ave, Knoxville, TN 37917-6435 | 2017-11-29 |
| 1508376120 | Robyn Amanda Summers | Social Worker | 10023 Dayflower Way, Knoxville, TN 37932-1697 | 2017-10-10 |
| 1952820896 | Balanced Solutions Pllc | Social Worker | 110 Perimeter Park Rd Ste H, Knoxville, TN 37922-2200 | 2017-09-12 |
| 1861866279 | Jennifer J Smith | Social Worker | 2210 Sutherland Ave Ste 115, Knoxville, TN 37919-2337 | 2015-11-23 |
| 1881080836 | Pamela Carpenter | Social Worker | 4706 Papermill Dr Ste 205, Knoxville, TN 37909-1972 | 2015-04-07 |
| Find all providers in KNOXVILLE | ||||
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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.