TIA KYLES JACKSON (NPI# 1538417639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538417639 |
| Entity Type | Individual |
| Full Name | TIA KYLES JACKSON |
| Other Name | MS. TIA KYLES |
| Credential | LCSW |
| Practice Address |
1444 E Shelby Dr Ste 424 Memphis TN 38116-7260 |
| Mailing Address |
747 Crescent Ave Memphis TN 38116-6209 |
| Practice Telephone | 9012708522 |
| Mailing Telephone | 9012708522 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 1861M | AR | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C9077 | MS | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
4461-C | AR | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6588 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 169031795 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 703 Calvin Avery Dr, West Memphis, AR 723016501 | 8707321878 | 8707027111 |
| Street Address |
1444 E SHELBY DR STE 424 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-7260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| 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 |
|---|---|---|---|---|
| 1942814306 | Hinda Rashki Osina | Social Worker | 5344 Brantford Ave, Memphis, TN 38120-2440 | 2020-09-03 |
| 1740893130 | Longmire Counseling Services, LLC | Social Worker | 1331 Union Ave Ste 1012, Memphis, TN 38104-7509 | 2020-08-26 |
| 1619595519 | Pha'meshia Calico | Social Worker | 3687 Paradise Lake Drive, Memphis, TN 38115-3811 | 2020-07-08 |
| 1609404599 | Amanda Lorelle Gitomer | Social Worker | 5395 Estate Office Dr Ste 15395, Memphis, TN 38119-0614 | 2020-03-28 |
| 1730748476 | Anne Renee Dillard | Social Worker | 5050 Poplar Ave Ste 1118, Memphis, TN 38157-1118 | 2019-06-06 |
| 1477111797 | Karen Elaine Dotson | Social Worker | 1039 Bluebird Rd, Memphis, TN 38116-4003 | 2019-06-01 |
| 1689150393 | Lauren Byrd Hansen | Social Worker | 4136 Philwood Ave, Memphis, TN 38122-3913 | 2018-07-16 |
| 1487164356 | Robert Brian Dove | Social Worker | 4515 Poplar Ave Ste 419, Memphis, TN 38117-7508 | 2017-10-05 |
| 1760991038 | Crystal Dinesse Deberry | Social Worker | 4821 American Way Ste 200g, Memphis, TN 38118-2471 | 2017-09-29 |
| 1780103010 | Brittney Scantling | Social Worker | 1689 Nonconnah Blvd Ste 100, Memphis, TN 38132-2111 | 2017-09-19 |
| Find all providers in MEMPHIS | ||||
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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.