SHONDIA JACKSON (NPI# 1225579428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225579428 |
| Entity Type | Individual |
| Full Name | SHONDIA JACKSON |
| Practice Address |
9137 Mansfield Rd Apt 104 Shreveport LA 71118-3143 |
| Practice Telephone | 5047239795 |
| Mailing Telephone | 5047239795 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
9137 MANSFIELD RD APT 104 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| 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 |
|---|---|---|---|---|
| 1831790773 | De'sica Lavancer Mccray-stewart | Social Worker | 6428 Joy Dr, Shreveport, LA 71119-5110 | 2020-11-06 |
| 1811477011 | Tanesha Denise Butler | Social Worker | 3315 Warwick Dr, Shreveport, LA 71118-4323 | 2018-08-16 |
| 1417485012 | Mycheal L Mimes | Social Worker | 1500 N Market St Unit C, Shreveport, LA 71107 | 2017-05-25 |
| 1275069668 | Faniki Davis | Social Worker | 2930 W Maple St, Shreveport, LA 71109-2332 | 2017-05-04 |
| 1114474327 | Daminica Richard | Social Worker | 1600 Severine Cir, Shreveport, LA 71108-3022 | 2016-09-06 |
| 1619423241 | Jaquita Hunter | Social Worker | 9100 Walker Rd, Apt. H13, Shreveport, LA 71118-2902 | 2016-09-01 |
| 1104286889 | Paulette Gorman | Social Worker | 6811 Fairfield Ave, Shreveport, LA 71106-3803 | 2016-02-24 |
| 1164895454 | Rekisha Roshela Perkins | Social Worker | 843 Ascalon St, Shreveport, LA 71106-5201 | 2015-11-09 |
| 1750753729 | Rahvi Smith | Social Worker | 4152 Calderwood Dr, Shreveport, LA 71119 | 2015-10-29 |
| 1851767578 | Linda Williams | Social Worker | 2219 Claiborne Ave Ste 1104, Shreveport, LA 71103-4301 | 2015-08-17 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
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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.