SANDRA GORDON JACKSON (NPI# 1316089840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316089840 |
| Entity Type | Individual |
| Full Name | SANDRA GORDON JACKSON |
| Credential | LCSW |
| Practice Address |
2121 Sage Rd Ste 180 Houston TX 77056-4326 |
| Practice Telephone | 7136227590 |
| Practice Fax Number | 7136227599 |
| Mailing Telephone | 7136227590 |
| Mailing Fax Number | 7136227599 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S02039 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408792 | Sandra Rae Jackson | Occupational Therapy Assistant | 6308 Parkwood Pl, Amarillo, TX 79119-5003 | 2019-03-27 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1710230917 | Sandra Evans Jackson | Counselor | 1035 Director Ct, Suite C, Greenville, NC 27858-5996 | 2012-10-25 |
| 1407170665 | Sandra Marie Jackson | Marriage & Family Therapist | 6809 Indiana Ave Ste B8, Riverside, CA 92506 | 2010-03-17 |
| 1619118288 | Sandra Denise Jackson | Durable Medical Equipment & Medical Supplies | 4303 Herridge St, Houston, TX 77022-3944 | 2009-03-11 |
| 1740425735 | Sandra Renee Jackson | Physical Therapist | 4476 Winding Creek Rd, Manlius, NY 13104-2482 | 2008-12-05 |
| 1255535860 | Sandra Denise Jackson | Licensed Vocational Nurse | 708 Bond St, Copperas Cove, TX 76522-3079 | 2007-06-14 |
| 1326195959 | Sandra Jackson | Social Worker | 2750 N Lakeview Dr, Warsaw, IN 46582-8408 | 2007-01-04 |
| 1366459778 | Sandra G. Jackson | Counselor | 1900 E. Tenth Street, Alamogordo, NM 88310 | 2006-08-01 |
| 1396717286 | Sandra F Jackson | Nurse Practitioner | 23 W 37th St, Wilmington, DE 19802-2225 | 2006-02-03 |
| Street Address |
2121 SAGE RD STE 180 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77056-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578698635 | Carol A Vaughan | Social Worker | 2121 Sage Rd Ste 180, Houston, TX 77056-4326 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068116 | Elvin Aydin Keles | Counselor | 777 S. Post Oak Lane, One Riverway, Suite 1700, Houston, TX 77056 | 2020-06-17 |
| 1649891169 | Edison Bio LLC | Specialist/Technologist, Other | 2700 Post Oak Blvd, Galleria Office Tower I, Houston, TX 77056 | 2020-05-06 |
| 1144851189 | North Houston First Assist, Pllc | Physician Assistant | 777 S Post Oak Lane, One Riverway Suite 1700, Houston, TX 77056 | 2020-01-29 |
| 1487295945 | Gladys Dadeboe | Registered Nurse | 4718 Hallmark Drive, Houston, TX 77056 | 2019-10-04 |
| 1720541444 | Hazel Camilla Hill | Counselor | 2800 Post Oak Blouvard, Suite 4100, Houston, TX 77056 | 2019-04-09 |
| 1225500150 | Mylabs, LLC | Technician, Pathology | 5100 Westheimer, Suite 200, Houston, TX 77056 | 2018-12-17 |
| 1356847529 | Olumayowa Akinyode | Nurse Practitioner | 5402 Westheimer Court, Houston, TX 77056 | 2018-04-04 |
| 1861997652 | Lauren Eye Group LLC | Optometrist | 5135 W Alabama St Ste 5410, Houston, TX 77056 | 2018-03-26 |
| 1619490828 | James House | Massage Therapist | 3000 Sage Rd, 1161, Houston, TN 77056 | 2017-07-19 |
| 1902327661 | Total Care Centers LLC | Counselor | 5201-a Richmond Ste 338, Houston, TX 77056 | 2017-07-03 |
| Find all providers in zip 77056 | ||||
| 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 |
|---|---|---|---|---|
| 1285234716 | Leah Mcnulty | Social Worker | 13722 Office Park Dr Ste B, Houston, TX 77070-2891 | 2020-10-26 |
| 1700485307 | Chasity Danielle Rasco | Social Worker | 14695 Briar Forest Dr Apt 6202, Houston, TX 77077-2713 | 2020-10-23 |
| 1508465592 | Trinity Community Healthcare LLC | Social Worker | 14501 Empanada Dr Apt 2404, Houston, TX 77083-3394 | 2020-10-20 |
| 1194323691 | Kandra Renay Essien | Social Worker | 1475 Texas St Unit 705, Houston, TX 77002-3692 | 2020-10-15 |
| 1023616703 | Tamyra Nikita Ware Lawson | Social Worker | 801 Town and Country Blvd, Houston, TX 77024-4164 | 2020-10-14 |
| 1649886128 | Natasha Crosby | Social Worker | 5330 Summit Hollow Dr, Houston, TX 77084-6890 | 2020-09-19 |
| 1841802246 | Melinda Ortega | Social Worker | 6617 Avenue T, Houston, TX 77011-1229 | 2020-08-18 |
| 1104436997 | Eldercare Therapy and Wellness LLC | Social Worker | 5530 Rutherglenn Dr, Houston, TX 77096-4034 | 2020-08-05 |
| 1700496015 | Laura Elizabeth Wiginton | Social Worker | 1501 Crocker St Apt 1, Houston, TX 77019-4371 | 2020-08-03 |
| 1235747882 | Elizabeth Lowrey | Social Worker | 1212 Fairview Ave Apt I, Houston, TX 77006-1261 | 2020-07-20 |
| Find all providers in HOUSTON | ||||
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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.