JAMAL TIMOTHY JACKSON (NPI# 1447889415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447889415 |
| Entity Type | Individual |
| Full Name | JAMAL TIMOTHY JACKSON |
| Credential | LCSW |
| Practice Address |
4470 S Valdai Way Aurora CO 80015-5571 |
| Practice Telephone | 7208627686 |
| Mailing Telephone | 7208627686 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW.09926520 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891275137 | Jamal D Jackson | Physical Therapist | 4175 N Hanson Ct Ste 301, Bowie, MD 20716-3186 | 2018-08-16 |
| Street Address |
4470 S VALDAI WAY |
| City | AURORA |
| State | CO |
| Zip Code | 80015-5571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
| 1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
| 1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
| 1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
| 1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
| 1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
| 1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
| Find all providers in zip 80015 | ||||
| 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 |
|---|---|---|---|---|
| 1427655521 | Cynthia L. Delap | Social Worker | 170 Wells Road, Aurora, NY 13026 | 2020-10-02 |
| 1992312508 | Niki J Mehta | Social Worker | 1739 Montrose Dr, Aurora, IL 60503-7600 | 2020-09-28 |
| 1053927392 | Katherine Caldwell Mortimer | Social Worker | 4188 S Riviera St, Aurora, CO 80018-3141 | 2020-09-22 |
| 1972119949 | Erin Phipps | Social Worker | 11892 E Yale Ct, Aurora, CO 80014-3119 | 2020-09-16 |
| 1861004616 | Melissa Jean Bruce | Social Worker | 14730 E Grand Ave, Aurora, CO 80015-2235 | 2020-08-21 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1700406741 | Cheryl Gonska | Social Worker | 450 Echo Ln Apt D, Aurora, IL 60504-6128 | 2020-04-20 |
| 1861021768 | Personal Victory Counseling, Inc. | Social Worker | 3675 Darlene Ct Ste B, Aurora, IL 60504-6523 | 2020-04-03 |
| 1457988693 | Marissa J Happ | Social Worker | 412 N. Lake St., Aurora, IL 60506-4106 | 2020-03-26 |
| 1568099331 | Gwen Dezelske | Social Worker | 19751 E Dartmouth Pl, Aurora, CO 80013-4319 | 2020-03-23 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on JAMAL TIMOTHY JACKSON.
| 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.