MRS. ELLEN MARIE JACKSON (NPI# 1568519718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568519718 |
| Entity Type | Individual |
| Full Name | MRS. ELLEN MARIE JACKSON |
| Credential | LCSW |
| Practice Address |
3 Fundy Rd Falmouth ME 04105-1796 |
| Practice Telephone | 2077809966 |
| Mailing Telephone | 2077809966 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC1392 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730353400 | Ellen Kimberly Jackson | Non-emergency Medical Transport (VAN) | 14122 S Wabash Ave, Riverdale, IL 60827-2236 | 2008-04-14 |
| 1710013099 | Ellen Gilbert Jackson | Pharmacist | 324 Patton Street, Medithrift Pharmacy, La Fayette, GA 30728 | 2007-02-23 |
| 1740280700 | Ellen S Jackson | Chiropractor | 7870 W Ridge Rd, Suite 3, Fairview, PA 16415-1808 | 2005-07-29 |
| 1235743907 | Ellen Jackson | Behavior Technician | 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 | 2020-09-01 |
| 1164993168 | Ellen Jackson | Physical Therapist | 4083 Austin Bluffs Pkwy Ste 101a, Colorado Springs, CO 80918-5928 | 2018-12-17 |
| Street Address |
3 FUNDY RD |
| City | FALMOUTH |
| State | ME |
| Zip Code | 04105-1796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689682312 | Benjamin Grasso | Psychiatry & Neurology | 3 Fundy Rd, Falmouth, ME 04105-1796 | 2006-08-05 |
| 1285089193 | Susan J. Winslow | Counselor | 3 Fundy Rd, Suite 2, Falmouth, ME 04105-1775 | 2016-04-28 |
| 1700192986 | Carly Mercer | Social Worker | 3 Fundy Rd, Falmouth, ME 04105-1775 | 2010-08-25 |
| 1093035057 | Amy Sue Hamilton | Social Worker | 3 Fundy Rd, Suite 2, Falmouth, ME 04105-1775 | 2010-06-01 |
| 1790931178 | Alice Elizabeth Ayoob | Social Worker | 3 Fundy Rd, Ste 2, Falmouth, ME 04105-1775 | 2008-08-18 |
| 1447379045 | Manijeh D. Best | Dentist | 3 Fundy Rd, Falmouth, ME 04105-1796 | 2007-03-28 |
| 1013036615 | Foreside Dental Health Care, Pa | Dentist | 3 Fundy Rd, Falmouth, ME 04105-1796 | 2007-03-28 |
| 1598881237 | Alan J Avtges | Dentist | 3 Fundy Rd, Falmouth, ME 04105-1796 | 2007-03-22 |
| 1063543221 | Leonard George Saulter | Chiropractor | 3 Fundy Rd, Falmouth, ME 04105-1796 | 2007-03-08 |
| 1104965466 | Emilee T. Conrad | Social Worker | 3 Fundy Rd, Falmouth, ME 04105-1775 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790134906 | Marsea Spiegel | Massage Therapist | 4 Fundy Rd, Aon Wellness Center, Suite 105, Falmouth, ME 04105 | 2016-06-08 |
| 1033368691 | Lori Ann Coffin | Speech-Language Pathologist | 193 Foreside Road, Falmouth, ME 04105 | 2008-09-18 |
| 1699959478 | Daniel Evert Feldman | Specialist | 50 Depot Rd., Falmouth, ME 04105 | 2007-12-28 |
| 1417130089 | Annette Bonnie Mueller | Nurse Practitioner | 202 Us Route 1, Suite 200, True North Health Center, Falmouth, ME 04105 | 2007-12-06 |
| 1225241912 | Falmouth School Department | Local Education Agency (LEA) | 51 Woodville Road, Falmouth, ME 04105 | 2007-05-08 |
| 1891810255 | Donna Lynne Keenan | Physical Therapist | U.S. Route One, Falmouth, ME 04105 | 2007-03-21 |
| 1306973938 | Andrea M Hall | Physical Therapist | 367 Us Rt One, Falmouth, ME 04105 | 2007-02-28 |
| 1427191907 | Falmouth Vision Center | Technician/Technologist | 204 Us Route One, Falmouth, ME 04105 | 2007-02-15 |
| 1588719314 | Catherine Marion Bernard | Physical Therapist | 50 Depot Rd, Falmouth, ME 04105 | 2007-01-24 |
| 1164597928 | Casco Bay Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 256 Us Route One, Suite 5, Falmouth, ME 04105 | 2006-11-21 |
| Find all providers in zip 04105 | ||||
| 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 |
|---|---|---|---|---|
| 1508405184 | Rebecca W Dilworth | Social Worker | 24 Johnson Rd, Falmouth, ME 04105-1435 | 2019-12-31 |
| 1235612318 | Wendy Miller Risko | Social Worker | 130 Katherine Lee Bates Rd, Falmouth, MA 02540-2897 | 2018-09-13 |
| 1881170934 | Laura M Scalone Finton | Social Worker | 874 Gifford Street Ext, Falmouth, MA 02540-2952 | 2018-07-12 |
| 1790284313 | Susan Jean Marlatt | Social Worker | 24 Carlisle Road, Falmouth, MA 02540 | 2018-02-09 |
| 1285142331 | Kim E Young | Social Worker | 1 Andrews Ave, Falmouth, ME 04105-1901 | 2018-01-10 |
| 1841732039 | Carolyn Sass | Social Worker | 202 Us Route 1 Ste 203b, Falmouth, ME 04105-1327 | 2016-11-06 |
| 1851741177 | Dorothy Drew, LLC | Social Worker | 41 Goodings Way, Falmouth, MA 02540-2517 | 2016-06-17 |
| 1356774087 | Elizabeth M. Oakleaf | Social Worker | 12 Old Powerhouse Rd, Falmouth, ME 04105-1616 | 2013-08-16 |
| 1144580531 | Holistic-integrative Therapy LLC | Social Worker | 202 Us Route 1 Ste 203, Falmouth, ME 04105-1327 | 2012-05-21 |
| 1689955791 | Sarah Newton Morris | Social Worker | 3 Fundy Rd Ste 2, Falmouth, ME 04105-1796 | 2011-09-01 |
| Find all providers in FALMOUTH | ||||
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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.