DEBBIE LEA JACKSON


Address: 1101 Johnson Ave Ste 2, Myrtle Beach, SC 29577-1893
Phone: 8434770177

DEBBIE LEA JACKSON (NPI# 1346563350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346563350
Entity Type Individual
Full Name DEBBIE LEA JACKSON
Credential LISW-S
Practice Address 1101 Johnson Ave Ste 2
Myrtle Beach
SC 29577-1893
Practice Telephone 8434770177
Mailing Telephone 8434770177
Enumeration Date 2010-03-04
Last Update Date 2016-02-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
0008164 OH Behavioral Health & Social Service Providers

Other Providers DEBBIE JACKSON

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1376941187 Debbie Jackson Licensed Practical Nurse 12800 E Warren Ave, Detroit, MI 48215-2061 2014-12-10
1972842078 Debbie Ann Jackson Counselor 6765 W Charleston Blvd, Ste. #110, Las Vegas, NV 89146-2003 2013-02-08

Office Location

Street Address 1101 JOHNSON AVE STE 2
City MYRTLE BEACH
State SC
Zip Code 29577-1893

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124536446 Well Care Home Health of The Lowcountry Home Health 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 2018-01-22
1518470913 Guillot Enterprises, LLC Hearing Instrument Specialist 1294 Professional Dr., Suite C, Myrtle, SC 29577 2017-11-08
1598288227 Ryan Shepherd Pharmacist 1705 South Kings Highway, Myrtle Beach, SC 29577 2017-07-25
1184176554 Shannon Long Counselor 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 2016-11-01
1265898191 Coastal Carolina Infectious Disease, LLC Internal Medicine 1110 London St Ste 102, Myrtle Beach, SC 29577 2016-01-07
1548639933 Susan Lang Social Worker 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 2015-09-16
1043600893 Kenneth Edward Smith Counselor 1125 48th Avenue North, Myrtle Beach, SC 29577 2015-02-02
1902203615 Sc Nursing Services LLC Home Infusion 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 2014-11-24
1881007946 Intercoastal Endo, PC Dentist 4382 Oleander Dr, Myrtle Beach, SC 29577 2014-06-06
1891115739 Julie Hite Pharmacist 540 Seaboard Street, Myrtle Beach, SC 29577 2014-04-18
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417420464 Keystone Care, LLC Social Worker 285 La Patos Dr, Myrtle Beach, SC 29588-8484 2019-01-02
1053804328 Serenity and Beyond Counseling Services LLC Social Worker 1229 38th Ave N Ste 207, Myrtle Beach, SC 29577-1313 2018-06-12
1891233144 Alexis Skelley Elliott Social Worker 410 77th Ave N, Myrtle Beach, SC 29572-4236 2017-02-07
1548639933 Susan Lang Social Worker 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 2015-09-16
1073924114 John Anthony Roman II Social Worker 917 Broadway St Ste 3, Myrtle Beach, SC 29577-3718 2014-05-12
1164866349 Sarah Roberts Social Worker 185 Zinnia Dr, Myrtle Beach, SC 29579-7051 2013-04-18
1235412685 Bergeron Counseling Services LLC Social Worker 1335 44th Ave N Ste 204, Myrtle Beach, SC 29577-5980 2011-09-22
1437455144 Little River Medical Center, Inc. Social Worker 7726 N Kings Hwy, Myrtle Beach, SC 29572-3041 2011-01-28
1235452772 Sheena Blake Gaddis Social Worker 1229 38th Ave N # 207, Myrtle Beach, SC 29577 2010-03-11
1144472119 Little River Medical Center, Inc. Social Worker 1005 Osceola St, Myrtle Beach, SC 29577-8008 2008-10-21
Find all providers in MYRTLE BEACH

Competitor

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City MYRTLE BEACH
Zip Code 29577

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Dataset Information

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.

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