SHELBY JACKSON (NPI# 1235749763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235749763 |
| Entity Type | Individual |
| Full Name | SHELBY JACKSON |
| Other Name | SHELBY SMITH |
| Credential | LSW |
| Practice Address |
560 N Main St Marion OH 43302-2331 |
| Mailing Address |
615 Elsinore Pl Ste 200 Cincinnati OH 45202-1459 |
| Practice Telephone | 8335104329 |
| Mailing Telephone | 5138347063 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.1700526 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811485675 | Shelby L Jackson | Case Manager/Care Coordinator | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2018-04-27 |
| Street Address |
560 N MAIN ST |
| City | MARION |
| State | OH |
| Zip Code | 43302-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124073283 | Edna Marie Jones | Family Medicine | 560 N Main St, Marion, OH 43302-2331 | 2006-05-24 |
| 1548873763 | James A Stevenson | Registered Nurse | 560 N Main St, Marion, OH 43302-2331 | 2020-08-27 |
| 1972116135 | Katherine Eileen Alvey | Licensed Practical Nurse | 560 N Main St, Marion, OH 43302-2331 | 2020-08-27 |
| 1265999106 | Ricia Marrs | Counselor | 560 N Main St, Marion, OH 43302-2331 | 2019-02-27 |
| 1679089064 | Carol Stewart | Counselor | 560 N Main St, Marion, OH 43302-2331 | 2017-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| 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 |
|---|---|---|---|---|
| 1487201802 | Jovan E Mcclarty | Social Worker | 4008 S Harmon St, Marion, IN 46953-4969 | 2019-08-20 |
| 1659850824 | Jaret Michael Morlan | Social Worker | 155 Marion Blvd, Marion, IA 52302-3135 | 2018-08-09 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1346795002 | Lisa Grota | Social Worker | 7 Emils Way, Marion, MA 02738-1208 | 2016-08-23 |
| 1144773870 | Elizabeth Moore | Social Worker | 2222 Marion Mount Gilead Rd, Marion, OH 43302-9125 | 2016-07-29 |
| 1649663592 | Erin Minnette | Social Worker | 2401 W Main St Bldg 83, Marion, IL 62959-1188 | 2015-03-16 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1770928574 | Hannah Rose Asci | Social Worker | 119 Wareham Rd Unit 104, Marion, MA 02738-1178 | 2013-05-07 |
| 1538400106 | Madaline Hileman | Social Worker | 2401 West Main St., Marion, IL 62959 | 2013-03-07 |
| 1164697165 | Devan Lynn Christopher | Social Worker | 600 S Mechanic St, Marion, IL 62959-3152 | 2008-04-29 |
| Find all providers in MARION | ||||
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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.