MS. LARITA JACKSON LEE (NPI# 1205101441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205101441 |
| Entity Type | Individual |
| Full Name | MS. LARITA JACKSON LEE |
| Other Name | MS. LARITA JACKSON |
| Credential | MSW, LSW, ACSW, DCSW |
| Practice Address |
3623 Wallace St Phila PA 19104-1932 |
| Practice Telephone | 2153011384 |
| Mailing Telephone | 2153011384 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | SW000401E | PA | Behavioral Health & Social Service Providers |
| Street Address |
3623 WALLACE ST |
| City | PHILA |
| State | PA |
| Zip Code | 19104-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| 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 |
|---|---|---|---|---|
| 1639532864 | Deborah Harris-white | Social Worker | 7602 Brockton Rd, Phila, PA 19151-2826 | 2016-04-04 |
| 1356628655 | Francis Adjei Kyem | Social Worker | 1120 Lindley Ave, Phila, PA 19141-3542 | 2011-11-15 |
| 1194974071 | Chavonne Cassandra Niangane | Social Worker | 5445 Oakland St, Phila, PA 19124-1210 | 2008-09-16 |
| 1134391568 | Katherine Victoria Jrateh | Social Worker | 7545 Malvern Ave, Phila, PA 19151-2815 | 2008-03-26 |
| 1114198025 | S.g. Isaacs Enterprises, Inc. | Social Worker | 823 Magee Ave, Phila, PA 19111-4811 | 2008-03-19 |
| 1538359351 | Harry Aponte Sr. | Social Worker | 3451 N 6th St, Phila, PA 19140-4561 | 2007-07-27 |
| 1720687742 | Sherita Gardner | Social Worker | 3900 Woodland Ave, Sw122, Phila, PA 19104-4594 | 2020-10-21 |
| 1720637184 | Albert George Parks Jr. | Social Worker | 8220 Castor Ave, Phila, PA 19152-2729 | 2019-09-09 |
| 1750891107 | Angel Minor | Social Worker | 8220 Castor Ave, Phila, PA 19152-2729 | 2017-10-11 |
| 1841626231 | Joshua Shin | Social Worker | 1216 Arch St, Phila, PA 19107-2835 | 2013-09-18 |
| Find all providers in PHILA | ||||
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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.