PATRICIA ANN JACKSON (NPI# 1396888335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396888335 |
| Entity Type | Individual |
| Full Name | PATRICIA ANN JACKSON |
| Credential | L.C.S.W |
| Practice Address |
420 Mink Pl Abingdon VA 24210-3426 |
| Mailing Address |
510 Cumberland St. 4th Floor, Executive Plaza Bristol VA 24201 |
| Practice Telephone | 2766288703 |
| Practice Fax Number | 2766288878 |
| Mailing Telephone | 2766454758 |
| Mailing Fax Number | 2766699093 |
| Enumeration Date | 2007-02-15 |
| 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 |
0904006464 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104458496 | Patricia A Jackson | Behavior Technician | 10252 S Hwy 441, Unit 3, Belleview, FL 34420 | 2020-02-05 |
| 1003396185 | Patricia Jackson | Licensed Vocational Nurse | 24310 Forest Canopy Dr, Katy, TX 77493-3088 | 2018-08-17 |
| 1023377967 | Patricia Renee Jackson | Dentist | 191 Highway and Hospital Road, Chinle, AZ 86503 | 2012-05-13 |
| 1306059548 | Patricia L Jackson | Home Health Aide | 11379 E Pike Rd, Cambridge, OH 43725-9162 | 2007-05-07 |
| 1902027329 | Patricia Jackson | Physical Therapist | 307 7th St E, Lehigh Acres, FL 33936-3970 | 2007-05-02 |
| 1427132422 | Patricia Suzanne Jackson | Family Medicine | 225 Von Karman Ave, Tullahoma Va Clinic, Arnold Afb, TN 37389 | 2006-10-25 |
| 1710081823 | Patricia Ann Jackson | Chiropractor | 225 3rd St, Batesville, AR 72501 | 2006-09-11 |
| 1073525150 | Patricia L Jackson | Nurse Practitioner | 1252 N 22nd St Unit A, Laramie, WY 82072-5306 | 2006-08-13 |
| 1376557702 | Patricia L Jackson | Nurse Practitioner | 230 W Catalpa Dr, Suite D, Mishawaka, IN 46545-8321 | 2006-07-28 |
| 1225094154 | Patricia Mcgarvey Jackson | Physician Assistant | 6800 Southpoint Pkwy, Suite 200, Jacksonville, FL 32216-6257 | 2006-04-20 |
| Street Address |
420 MINK PL |
| City | ABINGDON |
| State | VA |
| Zip Code | 24210-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
| 1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
| 1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
| 1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
| 1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| Find all providers in zip 24210 | ||||
| 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 |
|---|---|---|---|---|
| 1215590765 | Umoh Samuel Oduok | Social Worker | 3312 Trellis Ln, Abingdon, MD 21009-2878 | 2019-04-19 |
| 1699131177 | Beverly Carol Robinette | Social Worker | 468 E Main St Ste 200, Abingdon, VA 24210-3512 | 2016-01-13 |
| 1316375272 | Katherine Marie Cernak | Social Worker | 661 Kirkcaldy Way, Abingdon, MD 21009-2417 | 2013-10-30 |
| 1174896641 | Billie Jeanette Hunt Lcsw PC | Social Worker | 325 Cummings St, Suite 4, Abingdon, VA 24210-3207 | 2012-02-14 |
| 1639302540 | Brian William Nelson | Social Worker | 3320 Midland Ct, Abingdon, MD 21009-2505 | 2009-08-25 |
| 1265608095 | Bonnie Hird Jessee | Social Worker | 26054 Cornelius Dr, Abingdon, VA 24211-6362 | 2008-05-01 |
| 1265633622 | Victoria Lynn Mccall | Social Worker | 1004 Towson Dr, Abingdon, MD 21009-3011 | 2007-05-31 |
| 1861535254 | Michael L. Keohane | Social Worker | 27018 Lee Hwy, Abingdon, VA 24211-7512 | 2007-02-15 |
| 1841366705 | Patricia E Buston | Social Worker | 350 Russell Rd., Abingdon, VA 24212-1128 | 2006-11-24 |
| 1396824769 | Susan Smith Helton | Social Worker | 115 Hillside Dr Ne, Abingdon, VA 24210-2013 | 2006-11-04 |
| Find all providers in ABINGDON | ||||
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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.