JACINTA L MASON


Address: 2900 Conner St, Detroit, MI 48215-2407
Phone: 3133081402

JACINTA L MASON (NPI# 1447803853) 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) 1447803853
Entity Type Individual
Full Name JACINTA L MASON
Credential LLMSW
Practice Address 2900 Conner St
Detroit
MI 48215-2407
Mailing Address 1823 Lochmoor Blvd
Grosse Pointe Woods
MI 48236-1709
Practice Telephone 3133081402
Enumeration Date 2019-07-24
Last Update Date 2019-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
6801105201 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI LLMSW 6801105201 01

Office Location

Street Address 2900 CONNER ST
City DETROIT
State MI
Zip Code 48215-2407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710286836 Northeast Guidance Center Community/Behavioral Health 2900 Conner St, Ste A, Detroit, MI 48215 2011-03-16
1619576378 Michele Lynn Tucker Social Worker 2900 Conner St, Detroit, MI 48215-2407 2020-10-22
1881208890 Josh Borgelt Student in an Organized Health Care Education/Training Program 2900 Conner St, Detroit, MI 48215-2407 2020-09-07
1912563511 Kamicha Charisse Hawkins Peer Specialist 2900 Conner St, Detroit, MI 48215-2407 2019-05-20
1699237180 Tanya Y Frazier Peer Specialist 2900 Conner St, Detroit, MI 48215-2407 2019-04-03
1720514664 Elizabeth Sledge Counselor 2900 Conner St, Detroit, MI 48215-2407 2017-05-11
1912368754 Pekisha Lee Hemlinger Counselor 2900 Conner St, Detroit, MI 48215-2407 2016-03-07
1013300276 Alton Reid Sr. Counselor 2900 Conner St, Detroit, MI 48215-2407 2015-03-12
1235520107 Geneva Ann Giles Social Worker 2900 Conner St, Detroit, MI 48215-2407 2015-02-12
1386042091 Cynthia Marie Hill-jackson Social Worker 2900 Conner St, Detroit, MI 48215-2407 2014-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073035473 Creative Empowerment Counseling Services, LLC Community/Behavioral Health 214 Manistique, Detroit, MI 48215 2017-07-07
1801323530 Tanya Wade Social Worker 12800 E Warren, Detroit, MI 48215 2017-05-12
1992164289 Juanita Johnson Counselor 13336-40 E. Warren Ave, Detroit, MI 48215 2016-02-16
1629476379 Northeast Guidance Center Community/Behavioral Health 12800 Warren, Detroit, MI 48215 2014-12-11
1407253412 Conner Pharmacy LLC Pharmacy 4673 Conner Street, Detroit, MI 48215 2014-11-20
1053734285 Dawne Robinson Counselor 2995 Conner St, Detroit, MI 48215 2014-01-23
1790065357 Michelle Miller Counselor 2900 Conner, Bldg. A, Detroit, MI 48215 2011-08-26
1871892992 Lisa Nicole Marszalec Counselor 12800 East Warren Ave, Detroit, MI 48215 2011-03-16
1881845014 Deborah A Caldwell Nutritionist 13340 E Warren, Detroit, MI 48215 2008-10-07
1831340066 Asha Kenyatta Case Manager/Care Coordinator 13334 E. Warren, Detroit, MI 48215 2008-10-07
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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
1457958811 Jeana L Rooks Social Worker 19340 Riverview St, Detroit, MI 48219-4684 2020-10-07
1457966749 Crystal Radford Social Worker 229 Riverside Dr, Detroit, MI 48215-3010 2020-09-13
1285248799 Lachonta Alise Conley Social Worker 12594 Promenade St, Detroit, MI 48213-1416 2020-09-02
1780297754 Simone D Yancy Social Worker 14247 Riverview St, Detroit, MI 48223-2414 2020-08-28
1104435460 Goddess Great Social Worker 17163 E Warren Ave, Detroit, MI 48224-2279 2020-07-23
1710501689 Matthew Vanderwindt Social Worker 3554 Yorkshire Rd, Detroit, MI 48224-2324 2020-06-05
1669091286 Evan Theodore Fulford Social Worker 19928 Lichfield Rd, Detroit, MI 48221-1363 2020-04-14
1669001335 Eric Allan Haynes Social Worker 1454 Strathcona Dr, Detroit, MI 48203-1464 2020-04-05
1629601729 Stephanie Beaton Social Worker 3011 W Grand Blvd Ste 406, Detroit, MI 48202-3011 2020-02-17
1871125781 Amalia S Miralrio Social Worker 1214 Griswold St Apt 805, Detroit, MI 48226-1816 2020-02-08
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Competitor

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City DETROIT
Zip Code 48215

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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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