CHARLES EDWARD JACKSON JR. (NPI# 1457669848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457669848 |
| Entity Type | Individual |
| Full Name | CHARLES EDWARD JACKSON JR. |
| Practice Address |
1407 Healing Water Lane N.las Vegas NV 89031 |
| Mailing Address |
1407 Healing Waters Ln N Las Vegas NV 89031-1803 |
| Practice Telephone | 7024850883 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457896839 | Charles Jackson | Counselor | 2911 Penick St, Shreveport, LA 71109-4337 | 2016-12-21 |
| 1043655681 | Charles D Jackson | Driver | 4856 W.12th, Suite 1, Cleveland, OH 44109-3424 | 2013-05-09 |
| 1437594553 | Charles Jackson | Social Worker | 18712 Quarry St, Riverview, MI 48193-4527 | 2013-05-02 |
| 1508154105 | Charles Gilbert Jackson Jr. | Psychiatry & Neurology | 88 Crescent St, Northampton, MA 01060-2115 | 2011-07-16 |
| 1588994081 | Charles Dustin Jackson | Counselor | 5004 Nw 26th St, Oklahoma City, OK 73127-1722 | 2010-01-05 |
| 1508985250 | Charles Arthur Jackson Jr. | Chiropractor | 2455 E Hill Rd, Grand Blanc, MI 48439 | 2007-03-27 |
| 1760535926 | Charles Jackson | Podiatrist | 820 N Dalmont St, Hobbs, NM 88240-5214 | 2007-01-19 |
| 1982769840 | Charles Jackson | Dentist | 3540 82nd St, Jackson Heights, NY 11372-5159 | 2006-12-22 |
| 1437224813 | Charles Wesley Jackson Jr. | Psychologist | 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 | 2006-11-21 |
| 1306929856 | Charles Russell Jackson | Dentist | 1 Med Center Dirve, Morgantown, WV 26506 | 2006-10-20 |
| Street Address |
1407 HEALING WATER LANE |
| City | N.LAS VEGAS |
| State | NV |
| Zip Code | 89031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071039 | Dimuro Facilities Services | Pain Medicine | Dimuro Pain Management, 3970 W Ann Road Ste 100, N Las Vegas, NV 89031 | 2019-12-27 |
| 1225681323 | Jasmine Coleman | Home Health Aide | 1517 Santa Rosalia Dr., North Las Vegas, NV 89031 | 2019-07-18 |
| 1558924134 | Jamie Esprecion | Driver | 3007 Extravagant Ave, North Las Vegas, NV 89031 | 2019-04-18 |
| 1831652387 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 4461 North Decatur Blvd, Ste 110, N Las Vegas, NV 89031 | 2019-04-11 |
| 1265928550 | Geraldine Alford | Chore Provider | 5150 El Camino Norte Suite 150, Las Vegas, NV 89031 | 2018-07-10 |
| 1861999468 | Danielle Anderson | Counselor | 4528 West Craig Suite 150, Las Vegas, NV 89031 | 2018-04-10 |
| 1871094078 | Ethel Richardson | Chore Provider | 620 Manuel Edwardo Ave, N. Las Vegas, NV 89031 | 2018-02-22 |
| 1124547997 | Crystal Dorin Mcdowell | Counselor | 5920 Palmilla St Unit 5, North Las Vegas, NV 89031 | 2017-09-13 |
| 1699293308 | Mitzi Darnell Adeyemi | Counselor | 2205 Mountain Sunset Ave, North Las Vegas, NV 89031 | 2017-09-01 |
| 1831629500 | Emily Davis | Case Manager/Care Coordinator | 1926 La Villa Dr, North Las Vegas, NV 89031 | 2017-06-15 |
| Find all providers in zip 89031 | ||||
| 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 |
|---|---|---|---|---|
| 1689272130 | Adella Jaeger | Social Worker | 2520 Saint Rose Pkwy Ste 108c, Henderson, NV 89074-7784 | 2020-10-15 |
| 1457968265 | Rebecca Rasmussen | Social Worker | 1971 Morgan Rd, Reno, NV 89521-7458 | 2020-09-25 |
| 1154933067 | Michelle Rocha | Social Worker | 5912 Kit Cove Ct, Las Vegas, NV 89131-2088 | 2020-08-21 |
| 1083223564 | Cheryl Guerriero Pllc | Social Worker | 5881 September Cir, Reno, NV 89523-6229 | 2020-07-30 |
| 1336758572 | Betelham B Zerihun | Social Worker | 1250 Salem Pl Apt 6, Reno, NV 89509-4186 | 2020-07-23 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1194333732 | Jessica Ann Waller | Social Worker | 2731 Clapham Ln, Minden, NV 89423-9235 | 2020-07-20 |
| 1376161315 | Depth Psychological Services | Social Worker | 10616 Zingali Ct, Las Vegas, NV 89141-4251 | 2020-07-07 |
| 1255958054 | Hobbs Industries, Inc | Social Worker | 1155 W 4th St # 2512, Reno, NV 89503-5172 | 2020-06-29 |
| 1609492958 | Ana Alicia Cervantes Tippit | Social Worker | 415 Hwy 95a South Suite D, Fernley, NV 89408 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | N.LAS VEGAS |
| Zip Code | 89031 |
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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.