MARY A JACKSON (NPI# 1235760786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235760786 |
| Entity Type | Individual |
| Full Name | MARY A JACKSON |
| Credential | MSW |
| Practice Address |
4528 Plank Rd Ste A1 Fredericksburg VA 22407-0141 |
| Mailing Address |
225 Dogwood Dr Louisa VA 23093-5729 |
| Practice Telephone | 5408456940 |
| Mailing Telephone | 4342270886 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0906006974 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1194388678 | Mary Sheree Jackson | Home Health Aide | 226 Mckinley St, Pittsburgh, PA 15210-3312 | 2019-04-19 |
| 1508358813 | Mary Jackson | Counselor | 3442 W Emma Pl, Queen Creek, AZ 85142-0506 | 2018-06-01 |
| 1891220935 | Mary Jackson | Counselor | 2824 N Cascade Ave, Colorado Springs, CO 80907-6213 | 2017-04-26 |
| 1992152672 | Mary Jackson | Non-emergency Medical Transport (VAN) | 421 Lively Hope Rd, Callao, VA 22435-2511 | 2016-05-23 |
| 1699121129 | Mary Theresa Jackson | Counselor | 345 Old Cuyler Rd, Ellabell, GA 31308-5858 | 2016-05-13 |
| 1013331586 | Mary Jackson I | Chore Provider | 555 Old Lewiston Rd, Winthrop, ME 04364-4112 | 2014-02-04 |
| 1316203854 | Mary Louise Jackson | Home Health Aide | 256 Clairmont Ave, Mansfield, OH 44903-1547 | 2012-04-10 |
| 1376835298 | Mary Bickel Jackson | Nutritionist | 33 Fulton Plaza, Middletown, NY 10940 | 2011-05-11 |
| 1437456522 | Mary Elisabeth Jackson | Counselor | 804 South Oakland Ave, Carbondale, IN 62901 | 2011-02-25 |
| Street Address |
4528 PLANK RD STE A1 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22407-0141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831606730 | Healthy Minds Therapy Pllc | Psychologist | 4528 Plank Rd Ste A1, Fredericksburg, VA 22407-0141 | 2018-01-02 |
| 1033726088 | Bradd Andrew Buckingham | Counselor | 4528 Plank Rd Ste A1, Fredericksburg, VA 22407-0141 | 2020-09-24 |
| 1598322653 | Bruce Anthony Craig Jr. | Counselor | 4528 Plank Rd Ste A1, Fredericksburg, VA 22407-0141 | 2019-05-23 |
| 1265991418 | Debra Lindsay Rezendes | Student in an Organized Health Care Education/Training Program | 4528 Plank Rd Ste A1, Fredericksburg, VA 22407-0141 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
| 1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
| 1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| Find all providers in zip 22407 | ||||
| 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 |
|---|---|---|---|---|
| 1154893147 | Danielle Christina Nieto | Social Worker | 4528 Plank Rd # A1, Fredericksburg, VA 22407-0141 | 2019-01-01 |
| 1982126280 | James Michael Royea | Social Worker | 1498 Boos Ln, Fredericksburg, TX 78624-9782 | 2017-07-09 |
| 1770936932 | Randa Kirchner | Social Worker | 2835 Cherry Mountain Loop, Fredericksburg, TX 78624-7791 | 2016-07-22 |
| 1558718759 | Michelle Anne Buhrandt | Social Worker | 300 Maden St, Fredericksburg, VA 22407-6354 | 2016-05-17 |
| 1306214051 | Elizabeth A. Soukup-taylor | Social Worker | 406 Chatham Square Office Park Ste 102, Fredericksburg, VA 22405-2585 | 2015-09-11 |
| 1982090056 | Kareemah Stepney | Social Worker | 7204 Alpha Ct, Fredericksburg, VA 22407-2559 | 2015-04-15 |
| 1710378286 | Barbara Somers Atkins | Social Worker | 10600 Limburg Ct, Fredericksburg, VA 22408-0269 | 2015-02-05 |
| 1770903379 | Joe T. Johnson, Lcsw LLC | Social Worker | 404 Chatham Sq Park, Square Office Park, Fredericksburg, VA 22405-2544 | 2014-04-22 |
| 1831516731 | Staci Blair Marzolino | Social Worker | 306 Westwood Office Park, Fredericksburg, VA 22401-5108 | 2014-03-28 |
| 1952731481 | Tanya Lynn Meline | Social Worker | 20 Pendleton Rd, Fredericksburg, VA 22405-3041 | 2013-11-19 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22407 |
Please comment or provide details below to improve the information on MARY A JACKSON.
| 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.