TYLER JACKSON (NPI# 1033693155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033693155 |
| Entity Type | Individual |
| Full Name | TYLER JACKSON |
| Credential | LLMSW |
| Practice Address |
26184 Outer Dr Lincoln Park MI 48146-2084 |
| Practice Telephone | 3133897516 |
| Practice Fax Number | 3133897510 |
| Mailing Telephone | 3133897516 |
| Mailing Fax Number | 3133897510 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801103320 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355816 | Tyler Jackson | Emergency Medicine | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-04-23 |
| 1225518426 | Tyler Dean Jackson | Social Worker | 4455 Ne Hwy 20, Corvallis, OR 97330 | 2018-08-16 |
| 1306342084 | Tyler Jackson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2018-04-02 |
| 1336594696 | Tyler Jackson | Specialist/Technologist | 1400 Montgomery Ave, Bryn Mawr, PA 19010-1631 | 2016-04-25 |
| 1023489796 | Tyler Jackson | Physical Therapist | 20823 Stevens Creek Blvd, Cupertino, CA 95014-2108 | 2015-10-07 |
| 1245560002 | Tyler Drew Jackson | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2009-12-29 |
| 1952583528 | Tyler Bradley Jackson | Occupational Therapy Assistant | 907 N 2nd St, Albemarle, NC 28001-3317 | 2007-12-05 |
| Street Address |
26184 OUTER DR |
| City | LINCOLN PARK |
| State | MI |
| Zip Code | 48146-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770505075 | Florine Bond | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2006-07-24 |
| 1023655073 | Brittany Carlita Bell | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2019-12-09 |
| 1932746492 | Timothy Joseph Rayba | Peer Specialist | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2019-12-04 |
| 1639731490 | Saja A Alkhafaji | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2019-07-02 |
| 1518527514 | Jennifer Hope Steele | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2019-06-20 |
| 1376100420 | Nicole Manthei | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2019-05-23 |
| 1396300349 | Candace E Hunnicutt | Community Health Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2019-05-06 |
| 1558823492 | Nichole Marie Huziak | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2019-04-01 |
| 1932670957 | Christian Arnold Thomas Iv | Counselor | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2018-12-17 |
| 1467936526 | Teresa Smith | Registered Nurse | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2018-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967251 | Luisa Sofia Amaya | Behavior Technician | 1360 Porter Ave, Lincoln Park, MI 48146 | 2020-06-17 |
| 1851854129 | Abhi Patel | Physical Therapist | 25050 W. Outer Dr, Ste: 204, Lincoln Park, MI 48146 | 2019-04-12 |
| 1831608827 | Back On Track Physical Therapy LLC | Clinic/Center | 1132 Southfield Road, Lincoln Park, MI 48146 | 2017-09-22 |
| 1326568221 | Priscilla Cano | Social Worker | 1600 Porter, Detroit, MI 48146 | 2017-06-21 |
| 1952650194 | Melissa Margaret Belinc | Psychologist | 26300 Outer Drive, Lincoln Park, MI 48146 | 2012-09-04 |
| 1497011746 | Richard John Daniels | Physical Therapy Assistant | 1538 Morris, Lincoln Park, MI 48146 | 2012-04-11 |
| 1740563261 | Myesha Renee Thurman | Social Worker | 26180 W. Outer Drive, Lincoln Park, MI 48146 | 2011-09-21 |
| 1033491162 | Heidi Bremer | Social Worker | 26180 West Outer Drive, Lincoln Park, MI 48146 | 2011-09-14 |
| 1871823526 | Richard Dale Mott | Counselor | 1564 Arlington, Lincoln Park, LA 48146 | 2009-12-31 |
| 1386801777 | Laura Ann Kaakati-weber | Psychologist | 26184 West Outer Drive, Lincoln Park, MI 48146 | 2008-05-22 |
| Find all providers in zip 48146 | ||||
| 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 |
|---|---|---|---|---|
| 1740563261 | Myesha Renee Thurman | Social Worker | 26180 W. Outer Drive, Lincoln Park, MI 48146 | 2011-09-21 |
| 1154524841 | Tedyra Shalon Robinson | Social Worker | 26180 Outer Dr, Lincoln Park, MI 48146-2084 | 2007-06-08 |
| 1104963644 | David Lawrence Ulch | Social Worker | 4249 Hazel Ave, Lincoln Park, MI 48146-3746 | 2007-02-01 |
| 1023655073 | Brittany Carlita Bell | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2019-12-09 |
| 1922655521 | Allison Smith | Social Worker | 26300 Outer Drive, Lincoln Park, MI 48146 | 2019-08-20 |
| 1639731490 | Saja A Alkhafaji | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2019-07-02 |
| 1518527514 | Jennifer Hope Steele | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2019-06-20 |
| 1376100420 | Nicole Manthei | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2019-05-23 |
| 1669932950 | Ebony Latreice Smettler | Social Worker | 26300 Outer Dr, Lincoln Park, MI 48146-2019 | 2019-03-22 |
| 1285106310 | Tiera Elea Smith | Social Worker | 26300 Outer Dr, Lincoln Park, MI 48146-2019 | 2018-12-31 |
| Find all providers in LINCOLN PARK | ||||
| City | LINCOLN PARK |
| Zip Code | 48146 |
Please comment or provide details below to improve the information on TYLER JACKSON.
| 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.