AUDREY LEE JACKSON (NPI# 1093237943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093237943 |
| Entity Type | Individual |
| Full Name | AUDREY LEE JACKSON |
| Credential | MSW |
| Practice Address |
1061 Inkster Rd Garden City MI 48135-3168 |
| Mailing Address |
8594 N Canton Center Rd Canton MI 48187-1310 |
| Practice Telephone | 7342910007 |
| Mailing Telephone | 7342910007 |
| Mailing Fax Number | 3132812235 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801105658 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1061 INKSTER RD |
| City | GARDEN CITY |
| State | MI |
| Zip Code | 48135-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902293111 | All American Transit | Non-emergency Medical Transport (VAN) | 1061 Inkster Rd, Garden City, MI 48135-3168 | 2015-04-25 |
| 1134789670 | Nadia Selameh | Counselor | 1061 Inkster Rd, Garden City, MI 48135-3168 | 2019-06-17 |
| 1649733130 | Aaron Hospice and Home Care Inc | Home Health | 1061 Inkster Rd, Garden City, MI 48135-3168 | 2019-04-11 |
| 1639632128 | Aaron Hospice and Home Care Inc | Hospice Care, Community Based | 1061 Inkster Rd, Garden City, MI 48135-3168 | 2019-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440439 | Nephrocare Dialysis, LLC | Internal Medicine | Garden City Hosptial, 6245 Inkster Road, Garden City, MI 48135 | 2020-02-25 |
| 1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
| 1285125021 | Guardian Pharmacy LLC | Pharmacy | 29866 Ford Rd., Garden City, MI 48135 | 2018-05-29 |
| 1023538337 | Nishedh Nayan Dave | Internal Medicine | 6245 Inkster Rd., Garden City, MI 48135 | 2017-06-27 |
| 1033655196 | Smile Dental Pllc | Dentist | 28050 Ford Rd Suite D, Garden City, MI 48135 | 2017-01-13 |
| 1043667876 | Danielle M Spellman | Technician, Other | 832 Henry Ruff, Garden City, MI 48135 | 2016-05-23 |
| 1306202999 | Melissa Voydanoff | Technician, Other | 33412 Florence St., Garden City, MI 48135 | 2016-01-12 |
| 1679975098 | Kellee Renee Rutkowski | Technician, Other | 348 Radcliff, Novi, MI 48135 | 2014-09-17 |
| 1013357102 | Tim Kuo | Emergency Medicine | 6545 Inkster Road, Garden City, MI 48135 | 2013-07-03 |
| 1073837894 | Elite Transport, Inc | Non-emergency Medical Transport (VAN) | 27614 Ford Rd., Garden City, MI 48135 | 2010-03-23 |
| Find all providers in zip 48135 | ||||
| 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 |
|---|---|---|---|---|
| 1255955845 | Joy Fullhardt | Social Worker | 35 Prescott St, Garden City, NY 11530-1736 | 2020-05-30 |
| 1568015048 | Anchors of Hope, LLC | Social Worker | 2901 N 8th St, Garden City, KS 67846-2711 | 2019-07-23 |
| 1326504713 | Jennifer L Zielinski | Social Worker | 4950 N Bradley St, Garden City, ID 83714-1478 | 2019-02-11 |
| 1710451919 | Barbara Massina | Social Worker | 520 Franklin Ave Ste 110, Garden City, NY 11530-5814 | 2019-01-22 |
| 1821567934 | Inspiring Change Counseling Services, LLC | Social Worker | 1511 E Fulton Ter Ste 2, Garden City, KS 67846-6165 | 2018-11-19 |
| 1295278646 | Michele Bashkin | Social Worker | 520 Franklin Ave Ste L1, Garden City, NY 11530 | 2016-12-01 |
| 1386045722 | Kristen Chianese | Social Worker | 520 Franklin Avenue L3, Garden City, NY 11530 | 2014-09-04 |
| 1972921963 | Elana Friedman | Social Worker | 233 7th St Ste 200, Garden City, NY 11530 | 2014-04-07 |
| 1972927689 | Barbara Froehlich-stapleton Lpc Lmsw Pllc | Social Worker | 31530 Beechwood St, Garden City, MI 48135-1935 | 2014-02-17 |
| 1760810154 | Linda Kathelene Bowen | Social Worker | 123 E 44th St Ste A, Garden City, ID 83714-5008 | 2013-10-22 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 48135 |
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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.