JILLIAN JACKSON (NPI# 1457672594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457672594 |
| Entity Type | Individual |
| Full Name | JILLIAN JACKSON |
| Credential | LCSW |
| Practice Address |
559 Zachary Dr Apopka FL 32712-2384 |
| Practice Telephone | 4079230641 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2014-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW 11320 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604713 | Jillian Jackson | Counselor | 333 Perry St Ste 207, Castle Rock, CO 80104-2434 | 2018-09-28 |
| 1477177244 | Jillian Jackson | Social Worker | 3015 Parental Home Rd, Jacksonville, FL 32216-5704 | 2020-06-08 |
| 1730560665 | Jillian Jackson | Social Worker | 16 S Main St, Quakertown, PA 18951-1118 | 2015-06-16 |
| 1336246628 | Jillian Jackson | Physician Assistant | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2006-09-20 |
| Street Address |
559 ZACHARY DR |
| City | APOPKA |
| State | FL |
| Zip Code | 32712-2384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428467 | Pamella Omelda Odoms-brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 541 Shirley Dr., Apopka, FL 32712 | 2020-08-18 |
| 1871158741 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 1520 W. Orange Blossom Trail, Apopka, FL 32712 | 2019-05-07 |
| 1477088433 | Kim Johnson | Counselor | 1041 Lake Francis Drive, Apopka, FL 32712 | 2017-04-27 |
| 1497290811 | Yasmine Mollings | Behavior Technician | 1741 Parkglen Circle, Apopka, FL 32712 | 2016-12-20 |
| 1316391170 | Infinity Dental LLC | Dentist | 1450 N. Rock Springs Rd, Apopka, FL 32712 | 2016-04-19 |
| 1518368323 | Eleanor Mccall Hawthorne | Counselor | 1928 Bluff Oak St., Apopka, FL 32712 | 2014-09-11 |
| 1497092613 | Anayanzi Annette Simpson | Social Worker | 523 Wekiva Commons Circle #4, Apopka, FL 32712 | 2013-01-08 |
| 1275884553 | Marcia Annette Bryan | Nursing Home Administrator | 957 Rock Creek Street, Apopka, FL 32712 | 2012-09-26 |
| 1790067460 | Benjamin W Song | Dentist | 2053 Palm Vista Drive, Apopka, FL 32712 | 2011-09-19 |
| 1235367400 | Adventist Home Care Services | Home Health | 1109 Tall Pine Drive, Apopka, FL 32712 | 2009-06-26 |
| Find all providers in zip 32712 | ||||
| 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 |
|---|---|---|---|---|
| 1043837826 | Marisa Lee Johnson | Social Worker | 860 Wesley Cir Apt 206, Apopka, FL 32703-8673 | 2020-06-29 |
| 1841766383 | Latila Adams | Social Worker | 1946 Sunset Palm Dr, Apopka, FL 32712-8192 | 2018-10-23 |
| 1366938359 | Brenda Liz Garcia | Social Worker | 127 S Thompson Rd, Apopka, FL 32703-4560 | 2018-07-02 |
| 1912359845 | Mark Lang | Social Worker | 2240 Heatheroak Dr, Apopka, FL 32703-4703 | 2016-07-03 |
| 1316346166 | Monica Gotuzzo | Social Worker | 3194 Tobago Ct, Apopka, FL 32703-5934 | 2014-08-18 |
| 1598197188 | Gloria Gluskin | Social Worker | 2100 Savannah Oaks Ln, Apopka, FL 32703-3414 | 2013-08-06 |
| 1659612190 | Healing Solutions Family Counseling LLC | Social Worker | 58 Jett Loop, Apopka, FL 32712-2396 | 2013-03-08 |
| 1194018424 | Optimum Mental Health Services, LLC | Social Worker | 559 Hiawatha Palm Pl, Apopka, FL 32712-3315 | 2011-05-19 |
| 1750617650 | Rick Conyer | Social Worker | 866 Grand Sayan Loop, Apopka, FL 32712-4751 | 2009-10-27 |
| 1013169333 | Shannon Crim-mosey | Social Worker | 1117 Leyland Court, Apopka, FL 32712 | 2008-10-17 |
| Find all providers in APOPKA | ||||
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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.