MRS. LAURA K JACKSON (NPI# 1326224288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326224288 |
| Entity Type | Individual |
| Full Name | MRS. LAURA K JACKSON |
| Credential | LCSW; LCDC III |
| Practice Address |
3629 Church St Covington KY 41015-1430 |
| Practice Telephone | 8595818974 |
| Practice Fax Number | 8595819595 |
| Mailing Telephone | 8595818974 |
| Mailing Fax Number | 8595819595 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDC III- 101140 | OH | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LSW-09000933 | OH | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW 3952 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206060 | Laura Elizabeth Jackson | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201 | 2020-05-10 |
| 1497208987 | Laura Permelia Jackson | Specialist/Technologist | 3300 Airport Road, Southern Pines, NC 28387 | 2016-08-01 |
| 1487949400 | Laura Elizabeth Evans Jackson | Pediatrics | 4401 Penn Avenue, Aob, Suite 5400, Pittsburgh, PA 15224 | 2011-06-17 |
| 1821278177 | Laura Louise Jackson | Pharmacist | 10 Jason Ln, Wheelersburg, OH 45694-8463 | 2007-11-04 |
| 1447724604 | Laura Jackson | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-01-21 |
| 1619461886 | Laura Beth Jackson | Behavior Technician | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2018-06-20 |
| 1457844110 | Laura M Jackson | Speech-Language Pathologist | 7090 Covenant Woods Dr, Mechanicsville, VA 23111-7025 | 2018-06-07 |
| 1902319692 | Laura Elizabeth Jackson | Speech-Language Pathologist | 6502 Slide Rd Ste 204, Lubbock, TX 79424-1311 | 2017-11-16 |
| 1639699465 | Laura Ashlyn Broome Jackson | Pharmacist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2017-06-22 |
| 1013443589 | Laura L Jackson | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-05-03 |
| Street Address |
3629 CHURCH ST |
| City | COVINGTON |
| State | KY |
| Zip Code | 41015-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184723918 | Paula Weber | Social Worker | 3629 Church St, Covington, KY 41015-1430 | 2006-09-21 |
| 1679911408 | Kara L Riegler | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2013-06-14 |
| 1386855401 | Randi Beth Sutnick | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2007-05-24 |
| 1407066202 | Christina Ann Hill | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2007-05-23 |
| 1639389877 | Michelle Ann Schuck | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2007-05-23 |
| 1396955449 | Terry S. Winterberg | Social Worker | 3629 Church St, Covington, KY 41015-1430 | 2007-05-23 |
| 1992914014 | Catholic Charities, Inc. | Social Worker | 3629 Church St, Covington, KY 41015-1430 | 2007-05-22 |
| 1609085000 | Catherine Otto | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2007-05-22 |
| 1013125954 | Brian Timothy Kinne | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2007-05-21 |
| 1750599486 | Diane Cousino Mushaben | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609386580 | Brandon D Smith | Respite Care | 686 Wischer Dr, Taylor Mill, KY 41015 | 2017-10-05 |
| 1669868394 | Katy Hoffman | Counselor | 4339 Winston Avenue, Latonia Center, Covington, KY 41015 | 2015-04-09 |
| 1750499166 | Drs Halpin Psc | Dentist | 5150 Taylor Mill Road, Taylor Mill, KY 41015 | 2006-08-26 |
| 1114996196 | Ryland Heights and Community Volunteer Fire Dept Inc | Ambulance | 10041 Decoursey Pike, Ryland Heights, KY 41015 | 2006-03-14 |
| 1750788261 | Andrew Glockner | Social Worker | 4339 Winston Ave, Covington, KY 41015 | 2014-11-26 |
| 1922445303 | Laura Mcginnis Foor | Family Medicine | 5522 Taylor Mill Rd, Taylor Mill, KY 41015 | 2013-05-27 |
| 1073541967 | Christine Marie Timmerman | Art Therapist | 4339 Winston Ave, Covington, KY 41015 | 2006-06-29 |
| 1124319579 | Tawnya Kordenbrock | Counselor | 3800 Church St., Covington, KY 41015-0742 | 2011-04-20 |
| 1932285707 | Robert Mark Reeves | Chiropractor | 3631 Decoursey Ave, Covington, KY 41015-1436 | 2006-10-27 |
| 1891273298 | Melinda Terry | Massage Therapist | 3631 Decoursey Ave, Covington, KY 41015-1436 | 2018-07-30 |
| Find all providers in zip 41015 | ||||
| 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 |
|---|---|---|---|---|
| 1144870817 | Catreshia Brundage | Social Worker | 40 Brighton Ridge Ln, Covington, GA 30016-6626 | 2019-09-16 |
| 1073010856 | Jennifer Rhea Dudley | Social Worker | 221 N Monroe Ave, Covington, VA 24426-1409 | 2018-04-09 |
| 1104369602 | Angela Webb Deem | Social Worker | 104 Sherry May St, Covington, VA 24426-6000 | 2016-12-01 |
| 1568904365 | Aundretta Wood | Social Worker | 200 Colser Dr, Covington, GA 30016-0991 | 2016-11-09 |
| 1538615596 | Chandrika Monique Derricho | Social Worker | 140 Cambridge Way, Covington, GA 30016-4943 | 2016-08-30 |
| 1023481447 | Abg LLC | Social Worker | 50 E Rivercenter Blvd, Suite 416, Covington, KY 41011-1683 | 2015-11-06 |
| 1932596673 | Dawn Gritten | Social Worker | 318 4th St Ste B, Covington, IN 47932-1275 | 2015-04-21 |
| 1104222454 | Melissa Patrick | Social Worker | 5108 Newton Dr Ne, Covington, GA 30014-2678 | 2014-11-14 |
| 1619376704 | Lawrence W Schwarz | Social Worker | 208 N Tyler St, Covington, LA 70433-1456 | 2014-08-14 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| Find all providers in COVINGTON | ||||
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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.