TORI M JACKSON (NPI# 1588045603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588045603 |
| Entity Type | Individual |
| Full Name | TORI M JACKSON |
| Other Name | TORI M TUCKER |
| Credential | LCSW |
| Practice Address |
121 Commercial Dr # B Stuttgart AR 72160-7033 |
| Mailing Address |
2500 Rike Dr Pine Bluff AR 71603-3937 |
| Practice Telephone | 8706731633 |
| Practice Fax Number | 8706731253 |
| Mailing Telephone | 8705341834 |
| Mailing Fax Number | 8705345798 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7522-C | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 116378726 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447354 | Tori Jackson | Behavior Technician | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2020-11-05 |
| 1649307562 | Tori Consuelo Jackson | Counselor | 960 N State St Ste B, Hemet, CA 92543-1473 | 2007-02-27 |
| Street Address |
121 COMMERCIAL DR # B |
| City | STUTTGART |
| State | AR |
| Zip Code | 72160-7033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154456234 | Candy S Ladd | Counselor | 121 Commercial Dr # B, Stuttgart, AR 72160-7033 | 2007-02-22 |
| 1841852233 | Mallory Seidenstricker | Counselor | 121 Commercial Dr # B, Stuttgart, AR 72160-7033 | 2019-07-05 |
| 1396236550 | Madelyn R Turner | Counselor | 121 Commercial Dr # B, Stuttgart, AR 72160-7033 | 2018-05-23 |
| 1659891000 | Tronika Earls | Counselor | 121 Commercial Dr # B, Stuttgart, AR 72160-7033 | 2017-06-26 |
| 1467873448 | Tyesha Uchendu | Counselor | 121 Commercial Dr # B, Stuttgart, AR 72160-7033 | 2013-12-18 |
| 1619309200 | Robert Peters | Counselor | 121 Commercial Dr # B, Stuttgart, AR 72160-7033 | 2013-08-06 |
| 1457623456 | Shonte' A Byrd | Counselor | 121 Commercial Dr # B, Stuttgart, AR 72160-7033 | 2012-02-07 |
| 1366679144 | Tameshia Smith | Counselor | 121 Commercial Dr # B, Stuttgart, AR 72160-7033 | 2009-06-18 |
| 1528218534 | Jewel Young | Counselor | 121 Commercial Dr # B, Stuttgart, AR 72160-7033 | 2008-09-26 |
| 1003023573 | Amber Linnise Purcell | Counselor | 121 Commercial Dr # B, South Laurel Street, Stuttgart, AR 72160-7033 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205325842 | Chiquita K. Holt Counseling | Counselor | 201 East 16th Street, (s.a.a.), Stuttgart, AR 72160 | 2018-05-09 |
| 1417409343 | Loura Flowers | Nursing Care | 2204 S Timber Street, Stuttgart, AR 72160 | 2016-10-26 |
| 1558730648 | Marathon Health, Inc. | Nurse Practitioner | 512 W Lennox Road, C/o Lennox Employee Health Center, Stuttgart, AR 72160 | 2015-09-18 |
| 1346679388 | Stephanie Patyk | Family Medicine | 1609 N Medical Drive, Stuttgart, AR 72160 | 2013-11-08 |
| 1386964708 | Kathryn M Morris | Nurse Practitioner | 1012 B East 22nd St, Stuttgart, AR 72160 | 2010-06-08 |
| 1457565400 | Professional Pharmacy | Pharmacy | 1515 N. Medical Drive, Stuttgart, AR 72160 | 2007-05-09 |
| 1770626244 | Terry Judson Smith | Pharmacist | 1515 N. Medical Dr., Stuttgart, AR 72160 | 2007-02-15 |
| 1497770242 | Grand Prairie Physical Therapy of Stuttgart, Inc. | Clinic/Center | 2105 S Main St, Stuttgart, AR 72160 | 2006-07-13 |
| 1083663041 | Janis W Hillman | Social Worker | 121 Commercial Drive B, Stuttgart, AR 72160 | 2006-05-08 |
| 1811973779 | George M Dunn Jr. | Optometrist | 310 West 22nd Street, Stuttgart, AR 72160 | 2005-12-21 |
| Find all providers in zip 72160 | ||||
| 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 |
|---|---|---|---|---|
| 1609487826 | Gloria Jean Davis | Social Worker | 1804 N Porter St, Stuttgart, AR 72160-2640 | 2020-08-11 |
| 1902442098 | Melissa Andrews | Social Worker | Panzer Kasern, Stuttgart, BW 70376 | 2019-11-23 |
| 1083663041 | Janis W Hillman | Social Worker | 121 Commercial Drive B, Stuttgart, AR 72160 | 2006-05-08 |
| 1972553329 | Evelyn Webb | Social Worker | 121 Commercial Drive B, Stuttgart, AR 72160 | 2006-05-10 |
| 1467401307 | Sharon Cagle | Social Worker | 121 Commercial Drive B, Stuttgart, AR 72160 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918169 | Activelife Counseling, LLC | Social Worker | 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 | 2020-10-02 |
| 1457969735 | Britt Kristin Gjeruldsen | Social Worker | 9610 E Plentywood Rd, Bentonville, AR 72712-8828 | 2020-07-22 |
| 1083222756 | Prosper Counseling & Consulting Services, Pllc | Social Worker | 8 Shackleford Plz Ste 316, Little Rock, AR 72211-1852 | 2020-07-20 |
| 1598381253 | Jillian Carlan Counseling Pllc | Social Worker | 10515 W Markham St # 3, Little Rock, AR 72205-2297 | 2020-06-18 |
| 1972126829 | Jessica Chandler-zabih | Social Worker | 8401 Ranch Blvd, Little Rock, AR 72223-4402 | 2020-05-27 |
| 1184243362 | Counseling & Family Therapy Center, LLC | Social Worker | 213 W Rush Ave, Harrison, AR 72601-4220 | 2020-04-08 |
| 1730716887 | Denise Rodriguez | Social Worker | 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 | 2020-03-26 |
| 1225662190 | Felix E Pekar | Social Worker | 1010 Rock St, Little Rock, AR 72202-5111 | 2020-02-28 |
| 1063045458 | Judy Michelle Jacobs | Social Worker | 103 Bullard, Manila, AR 72442-8216 | 2020-02-13 |
| 1821628462 | Lynda Larue Heber Springs Counseling | Social Worker | 1101 W Main St Ste F, Heber Springs, AR 72543-2802 | 2020-01-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TORI M JACKSON.
| 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.