VALERIE P JACKSON (NPI# 1164817987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164817987 |
| Entity Type | Individual |
| Full Name | VALERIE P JACKSON |
| Other Name | VALERIE P WING |
| Credential | LCSW |
| Practice Address |
6153 W Olive Ave Glendale AZ 85302-4564 |
| Mailing Address |
3003 N Central Ave Ste 200 Phoenix AZ 85012-2914 |
| Practice Telephone | 6026856000 |
| Practice Fax Number | 6239372589 |
| Mailing Telephone | 6026856000 |
| Mailing Fax Number | 6023027925 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2016-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-15435 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 022866 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871063529 | Valerie Jackson Jackson II | Home Health | 4410 Foote St Ne, Washington, DC 20019-4727 | 2018-11-26 |
| 1386157063 | Valerie D Jackson | Licensed Practical Nurse | 305 Wildberry Ln, Columbus, OH 43213-6647 | 2017-11-16 |
| 1538425392 | Valerie Darice Jackson | Psychologist | 3730 Kirby Dr Ste 904, Houston, TX 77098-3994 | 2012-04-05 |
| 1386882546 | Valerie P. Jackson | Counselor | 3270 Suntree Blvd Ste 127, Melbourne, FL 32940-7540 | 2009-01-27 |
| 1508922279 | Valerie B Jackson | Physical Therapist | 525 South Dr Ste 211, Mountain View, CA 94040-4211 | 2006-12-28 |
| 1609402304 | Valerie Thresa Jackson | Registered Nurse | 1856 Hospital Dr, Jackson, MS 39204-3410 | 2020-03-14 |
| 1952941007 | Valerie Cannon Jackson | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-01-07 |
| 1164925426 | Valerie Perrault Jackson | Registered Nurse | 427 Heymann Blvd, Lafayette, LA 70503-2616 | 2018-03-13 |
| 1740709211 | Valerie Kaye Jackson | Nurse Practitioner | 605 N Main St, Fuquay Varina, NC 27526-2026 | 2017-09-15 |
| 1871967539 | Valerie R Jackson | Occupational Therapist | 279 Cabot St, Holyoke, MA 01040-3139 | 2015-11-18 |
| Street Address |
6153 W OLIVE AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821049800 | Robert James Allen | Family Medicine | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2006-05-13 |
| 1982240040 | Leslie Billings | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2019-11-25 |
| 1124677802 | Jessica Shetzen | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2019-09-05 |
| 1396237640 | Troy Riutta | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-06-02 |
| 1629575683 | Christina Elliott | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-04-06 |
| 1982064515 | Todd Robert Shorten | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2016-02-24 |
| 1972919397 | Susan Kinkel | Marriage & Family Therapist | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2014-07-07 |
| 1700292158 | Ray Young | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2014-07-07 |
| 1073953659 | Mireya J Roe | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2013-06-27 |
| 1104266782 | Kirstin Yates | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| 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 |
|---|---|---|---|---|
| 1215543103 | Taylor C Lambert | Social Worker | 220 E Broadway Ste 214, Glendale, CA 91205-1056 | 2020-09-16 |
| 1427661354 | The Cradle Company, LLC | Social Worker | 1510 E Windsor Rd, Glendale, CA 91205-2724 | 2020-08-29 |
| 1760962211 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 7877 N Port Washington Rd, Glendale, WI 53217-3132 | 2018-08-15 |
| 1699277962 | Elizabeth J Roberts Pllc | Social Worker | 5940 W Union Hills Dr Ste 200, Glendale, AZ 85308-1308 | 2018-03-02 |
| 1992219695 | Adrianne Averbukh | Social Worker | 230 N Maryland Ave Suite 209, 209, Glendale, CA 91206-9120 | 2017-11-17 |
| 1306374392 | Anna Teresa Jones | Social Worker | 8751 N 51st Ave Ste 121e, Glendale, AZ 85302-4941 | 2017-06-02 |
| 1174072896 | Jocelyn Ann Ryan | Social Worker | 550 N Brand Blvd, Glendale, CA 91203-1900 | 2016-09-22 |
| 1548612393 | Mary Kay Krawczyk | Social Worker | 19207 N 73rd Ln, Glendale, AZ 85308-5601 | 2016-07-05 |
| 1962857516 | Alexia Maroun | Social Worker | 1345 Romulus Dr, Glendale, CA 91205-3741 | 2016-05-02 |
| 1831560739 | Tanya Verigin | Social Worker | 1125 E Broadway # 247, Glendale, CA 91205-1315 | 2015-10-18 |
| Find all providers in GLENDALE | ||||
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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.