JACKIE LYNN ANDERSON (NPI# 1477072437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477072437 |
Entity Type | Individual |
Full Name | JACKIE LYNN ANDERSON |
Practice Address |
2116 Broadway Oakland CA 94612-2310 |
Practice Telephone | (510) 899-4100 |
Practice Fax Number | 5108994110 |
Mailing Telephone | 5108994100 |
Mailing Fax Number | 5108994110 |
Enumeration Date | 2017-09-11 |
Last Update Date | 2017-09-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295004406 | Jackie Lou Anderson | Developmental Therapist | 101 Shoreland Rd, Machesney Park, IL 61115-2833 | 2011-12-16 |
1447789565 | Jackie Mae Anderson | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2017-06-12 |
1790132652 | Jackie Anderson | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2016-05-20 |
Street Address |
2116 BROADWAY |
City | OAKLAND |
State | CA |
Zip Code | 94612-2310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609917236 | Marsha Vaughn | Social Worker | 2116 Broadway, Oakland, CA 94612-2310 | 2007-02-08 |
1548758287 | Courtney B Draper | Counselor | 2116 Broadway, Oakland, CA 94612-2310 | 2018-04-27 |
1679098180 | Victor Lavet Nelson | Social Worker | 2116 Broadway, Oakland, CA 94612-2310 | 2017-08-04 |
1982128864 | Uganda Knapps | Counselor | 2116 Broadway, Oakland, CA 94612-2310 | 2017-08-01 |
1679007124 | Trava Goodwin | Social Worker | 2116 Broadway, Oakland, CA 94612-2310 | 2017-04-11 |
1992254189 | Dyesha Gardner | Counselor | 2116 Broadway, Oakland, CA 94612-2310 | 2016-09-28 |
1285012617 | Jennifer Spevak | Social Worker | 2116 Broadway, Oakland, CA 94612-2310 | 2015-05-18 |
1518359249 | Francisco Rodriguez Bautista | Counselor | 2116 Broadway, Oakland, CA 94612-2310 | 2015-03-04 |
1225442882 | Gail Clough | Social Worker | 2116 Broadway, Oakland, CA 94612-2310 | 2014-06-11 |
1962833574 | John Safkow | Counselor | 2116 Broadway, Oakland, CA 94612-2310 | 2013-12-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
Find all providers in zip 94612 |
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 |
---|---|---|---|---|
1265030803 | Alana Lyn Kapust | Social Worker | 590 El Dorado Ave Unit 210, Oakland, CA 94611-5071 | 2020-10-15 |
1497377527 | Yurianna Hyechong Na | Social Worker | 1401 Jackson St Apt 501, Oakland, CA 94612-4086 | 2020-05-12 |
1861026080 | Urban Catalyst Psychotherapy, A Licensed Clinical Social Worker Corpor | Social Worker | 2700 International Blvd Ste 21, Oakland, CA 94601-1508 | 2020-02-26 |
1336789643 | Zosime Calame | Social Worker | 445 Bellevue Ave Ste 300, Oakland, CA 94610-4923 | 2020-01-14 |
1316581796 | Joaquin Turner | Social Worker | 2232 Ivy Dr Apt 27, Oakland, CA 94606-1942 | 2019-10-29 |
1699324152 | Brian Phanichkarn | Social Worker | 675 Hegenberger Rd Ste 214, Oakland, CA 94621-1989 | 2019-09-08 |
1306495007 | Winnie Zhi Liao | Social Worker | 400 Roland Way, Oakland, CA 94621-2012 | 2019-09-05 |
1225686314 | Victoria Anderson | Social Worker | 1038 57th St, Oakland, CA 94608-2706 | 2019-08-31 |
1881242279 | Lauren Martin | Social Worker | 5231 Market St, Oakland, CA 94608-3254 | 2019-08-28 |
1639723703 | Joanna La Torre | Social Worker | 4255 Howe St, Oakland, CA 94611-4704 | 2019-07-27 |
Find all providers in OAKLAND |
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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.