MICHAEL JACKSON (NPI# 1063809846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063809846 |
| Entity Type | Individual |
| Full Name | MICHAEL JACKSON |
| Credential | LLMSW |
| Practice Address |
43518 Champlain Ct Canton MI 48188-1711 |
| Practice Telephone | 3342332391 |
| Mailing Telephone | 3342332391 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2016-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | M286754 | MI | Behavioral Health & Social Service Providers |
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345346 | Michael Frederick Jackson | Massage Therapist | 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 | 2020-08-04 |
| 1295372993 | Michael Jackson | Chiropractor | 5216 Cold Springs Way, Eugene, OR 97405-5213 | 2019-12-02 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1114441375 | Michael Frank Jackson Jr. | Physical Therapist | 1806 Russell Pkwy Ste 1400, Warner Robins, GA 31088-5781 | 2017-07-31 |
| 1457809931 | Michael Jackson | Counselor | 10001 W. Grand Avenue, Franklin Park, IL 60131 | 2016-09-14 |
| 1639625833 | Michael Jackson | Counselor | 128 Mute Swan Place, Newark, DE 19711 | 2016-08-28 |
| 1467823104 | Michael Jackson | Occupational Therapy Assistant | 1913 N Oakes St Apt D, Tacoma, WA 98406-7527 | 2015-10-07 |
| 1831576651 | Michael Howard Jackson | Family Medicine | 4646 Nw Fielding Road, Topeka, KS 66618 | 2015-04-30 |
| 1780922872 | Michael A Jackson | Pharmacist | 585 Mcwilliams Rd Se Unit 2303, Atlanta, GA 30315-7571 | 2013-01-23 |
| 1790045763 | Michael A Jackson | Pharmacist | 123 East South Main St, Littleton, NC 27850 | 2012-05-23 |
| Street Address |
43518 CHAMPLAIN CT |
| City | CANTON |
| State | MI |
| Zip Code | 48188-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| 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 |
|---|---|---|---|---|
| 1699373308 | Courtney Miller | Social Worker | 41845 Old Bridge Rd, Canton, MI 48188-1242 | 2020-10-14 |
| 1609486612 | Jennifer Zahler | Social Worker | 46463 Hanford Rd, Canton, MI 48187-4784 | 2020-08-04 |
| 1558979492 | Amber Lynn Spicer | Social Worker | 2007 Bellingham St, Canton, MI 48188-1880 | 2020-07-16 |
| 1902414824 | Suzanne C Bradshaw | Social Worker | 4942 Higbee Ave Nw Ste Candd, Canton, OH 44718-2554 | 2020-07-16 |
| 1306461272 | Premela G. Deck | Social Worker | 789 Washington St, Canton, MA 02021-3021 | 2020-06-16 |
| 1750904256 | Sheila Gail Pransky | Social Worker | 29 Kelly Way, Canton, MA 02021-2786 | 2020-05-19 |
| 1659900769 | Maureen Dervan | Social Worker | 7 Shepard Way, Canton, MA 02021-1119 | 2020-04-02 |
| 1720610025 | Ashley Dornhecker | Social Worker | 3361 Malory Cir Nw, Canton, OH 44708-1168 | 2020-02-05 |
| 1801441878 | Madeeha Raja Abbasi | Social Worker | 42485 Majestic Ct, Canton, MI 48188-1136 | 2019-08-07 |
| 1366095044 | Haley Film | Social Worker | 903 Clarendon Ave Nw, Canton, OH 44708-4243 | 2019-07-22 |
| Find all providers in CANTON | ||||
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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.