MARCIA JACKSON (NPI# 1457919979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457919979 |
| Entity Type | Individual |
| Full Name | MARCIA JACKSON |
| Credential | LCSW |
| Practice Address |
1512 Stevens Ct North Aurora IL 60542-1783 |
| Practice Telephone | 6302017383 |
| Mailing Telephone | 6302017383 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149019143 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326483306 | Marcia Dawn Jackson | Licensed Practical Nurse | 5712 Avenue H, 1st Floor, Brooklyn, NY 11234-1911 | 2013-05-06 |
| 1912514043 | Marcia Jackson | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-09-23 |
| 1427358555 | Marcia Jackson | Marriage & Family Therapist | 3521 W Broward Blvd Fl 3, Fort Lauderdale, FL 33312-1048 | 2010-10-22 |
| 1346358330 | Marcia Plant Jackson | Nurse Practitioner | 8102 Clearvista Pkwy, Fairbanks, Indianapolis, IN 46256 | 2006-08-29 |
| Street Address |
1512 STEVENS CT |
| City | NORTH AURORA |
| State | IL |
| Zip Code | 60542-1783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285289678 | Balaji LLC | Dentist | 483 Randall Crossing Lane, North Aurora, IL 60542 | 2019-08-03 |
| 1528521283 | Robin Ann Blondin | Speech-Language Pathologist | Fearn Elementary School, 1600 Hawksley Lane, North Aurora, IL 60542 | 2019-04-10 |
| 1942766894 | Taking Control | Community/Behavioral Health | 106f South Lincolnway, North Aurora, IL 60542 | 2019-02-15 |
| 1104399682 | Taking Control Professional Corporation | Counselor | 106 South Lincolnway, Suite A, North Aurora, IL 60542 | 2019-01-07 |
| 1225565575 | Sarah A Fillmore | Social Worker | 106 S. Lincolnway St, North Aurora, IL 60542 | 2017-05-17 |
| 1437607892 | Seyedamir Danesh Sani | Dentist | 582 Chesterfield Lane, North Aurora, IL 60542 | 2016-09-14 |
| 1053664151 | Breeze Counseling, Ltd | Counselor | 427 Mallard Point Dr, North Aurora, IL 60542 | 2012-10-26 |
| 1174778104 | 311 Lincolnway Properties | Assisted Living Facility | 311 South Lincolnway, North Aurora, IL 60542 | 2008-11-18 |
| 1346421468 | Bernard Stanley Smaizys | Dentist | 111 Oak Street, North Aurora, IL 60542 | 2007-11-16 |
| 1215131255 | Allan Clifford Katz | Dentist | 866 Hathaway Court, North Aurora, IL 60542 | 2007-06-13 |
| Find all providers in zip 60542 | ||||
| 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 |
|---|---|---|---|---|
| 1720645179 | Sylvia Ortiz-kennedy | Social Worker | 106 S Lincolnway Ste G, North Aurora, IL 60542-1597 | 2019-05-21 |
| 1558865741 | Dominika Ventucci | Social Worker | 703 Lloyd Ln, North Aurora, IL 60542-9088 | 2018-03-21 |
| 1285755074 | Christie Mason | Social Worker | 1314 Winterberry Ct, North Aurora, IL 60542 | 2007-04-02 |
| 1356481543 | Michelle Gene Ainsworth | Social Worker | 380 Messenger Cir, North Aurora, IL 60542-1805 | 2007-02-07 |
| 1235149956 | Tamara S Livingston | Social Worker | 359 Wildwood Dr, North Aurora, IL 60542-3018 | 2006-08-08 |
| 1902416852 | Tina Mccue | Social Worker | 66 Miller Dr Ste 104, North Aurora, IL 60542-5144 | 2020-08-05 |
| 1194375337 | Callie June Rezin | Social Worker | 106 S Lincolnway, North Aurora, IL 60542-1663 | 2019-09-19 |
| 1316311889 | Joanna Vanlear | Social Worker | 106 S Lincolnway, North Aurora, IL 60542-1663 | 2015-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851241 | Courtney A Behrens | Social Worker | 150 Deerpath Rd, Algonquin, IL 60102-1861 | 2020-11-06 |
| 1801497623 | Sedulous Counseling & Consulting Services Pllc | Social Worker | 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 | 2020-11-06 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1174124036 | Reginald Washington Edwards | Social Worker | 18660 Walnut Ave, Country Club Hills, IL 60478-5549 | 2020-11-05 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1801496468 | Monica Dushane | Social Worker | 125 N Buffalo Grove Rd Apt 110, Buffalo Grove, IL 60089-1722 | 2020-10-31 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1598365488 | Karyssa Lee Haase | Social Worker | 745 E Court St, Paris, IL 61944-2460 | 2020-10-29 |
| 1699375592 | Andrea Doherty | Social Worker | 526 Keystone Ave, River Forest, IL 60305-1612 | 2020-10-29 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH AURORA |
| Zip Code | 60542 |
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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.