MRS. URSULA ANN JACKSON (NPI# 1184952459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184952459 |
| Entity Type | Individual |
| Full Name | MRS. URSULA ANN JACKSON |
| Credential | LCSW |
| Practice Address |
450 Forbes St East Hartford CT 06118-1716 |
| Mailing Address |
763 Burnside Ave East Hartford CT 06108-2791 |
| Practice Telephone | 8606225340 |
| Practice Fax Number | 8606225342 |
| Mailing Telephone | 8602919754 |
| Mailing Fax Number | 8602919728 |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
006586 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | LICENSE | 006586 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1942758032 | Ursula L Jackson | Nurse Practitioner | 13944 Euclid Ave, East Cleveland, OH 44112-3804 | 2016-09-16 |
| Street Address |
450 FORBES ST |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06118-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457909665 | Theresa R Gardener | Home Health Aide | 38 Footpath Lane, East Hartford, CT 06118 | 2019-08-30 |
| 1841761731 | Zoey Walker | Nurse Practitioner | 281/287 Main Street, East Hartford, CT 06118 | 2018-12-17 |
| 1487147419 | Nesti Risto | Pharmacist | 940 Silver Lane, East Hartford, CT 06118 | 2018-06-13 |
| 1497022578 | Gifty Oteng | Pharmacist | 46 Fowler Ln, East Hartford, CT 06118 | 2011-11-17 |
| 1972556165 | Hartford Headache Center, LLC | Nurse Practitioner | 144 Main Street, Suite D, East Hartford, CT 06118 | 2006-05-18 |
| 1689636045 | Richard E Amaral | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2006-04-03 |
| 1447789839 | Gino Zaccardelli | Pharmacist | 16 Main St, East Hartford, CT 06118 | 2017-06-08 |
| 1881067247 | Christina Morrissey | Nurse Practitioner | 281 Main St, East Hartford, CT 06118 | 2015-11-07 |
| 1871961052 | Christina Marchitto | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2015-09-04 |
| 1942592514 | Chad Mcdonald | Family Medicine | 281 Main St, East Hartford, CT 06118 | 2011-05-13 |
| Find all providers in zip 06118 | ||||
| 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 |
|---|---|---|---|---|
| 1952912313 | Alexis Mohammed | Social Worker | 66 Pheasant Ln, East Hartford, CT 06108-1032 | 2020-08-11 |
| 1649892084 | Open Space Therapy LLC | Social Worker | 28 Higbie Dr, East Hartford, CT 06108-2840 | 2020-05-07 |
| 1316584956 | Michelle Marie Wortham | Social Worker | 905 Burnside Ave Apt C19, East Hartford, CT 06108-2719 | 2019-12-02 |
| 1154983229 | Nicole Osborne | Social Worker | 94 Conn Blvd, East Hartford, CT 06108-3013 | 2019-06-28 |
| 1356769582 | Priscilla Pandozzi | Social Worker | 29 Willowbrook Rd, East Hartford, CT 06118-1842 | 2014-04-04 |
| 1316376635 | Colinda K. Hunter | Social Worker | 239 Burnham St, East Hartford, CT 06108-1131 | 2013-11-06 |
| 1619219243 | Latif & Mushtaq LLC | Social Worker | 585 Burnside Ave, East Hartford, CT 06108-3537 | 2013-03-21 |
| 1003198094 | Sheila Ann Bridges-howard | Social Worker | 588 Silver Ln, East Hartford, CT 06118-1103 | 2011-09-15 |
| 1346489952 | Center of Attention, LLC | Social Worker | 49 Connecticut Boulevard, Suite 6, East Hartford, CT 06108 | 2009-02-05 |
| 1275784076 | John Connor | Social Worker | 22 Cavan Rd, East Hartford, CT 06118-2011 | 2008-10-10 |
| Find all providers in EAST HARTFORD | ||||
| City | EAST HARTFORD |
| Zip Code | 06118 |
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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.