CYNTHIA ANN JACKSON (NPI# 1609065861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609065861 |
| Entity Type | Individual |
| Full Name | CYNTHIA ANN JACKSON |
| Credential | LCSW-R,CASAC,CEAP |
| Practice Address |
6680 Main St Williamsville NY 14221-5933 |
| Practice Telephone | 7166319212 |
| Mailing Telephone | 7166319212 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
052706 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNIVERA HEALTHCARE | 11515193 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205789 | Cynthia Jackson | Technician | 2834 Green Bank Rd, Arbovale, WV 24915-5565 | 2020-08-13 |
| 1225650757 | Cynthia Linnea Jackson | Midwife | 20551 Motor Dr Apt A4, Detroit, MI 48235-1831 | 2020-05-06 |
| 1598384935 | Cynthia Jackson | Dentist | 1620 Alpine Blvd Ste 212, Alpine, CA 91901-1105 | 2020-04-15 |
| 1134759863 | Cynthia Rana Jackson | Home Health | 1206 W Central Ave, Coolidge, AZ 85128-9165 | 2020-01-22 |
| 1427515303 | Cynthia Mary Jackson | Social Worker | 602 Kahn Dr, Pikesville, MD 21208-5824 | 2019-02-27 |
| 1619441102 | Cynthia Lee Jackson | Licensed Vocational Nurse | 1646 Best Blvd, Wichita Falls, TX 76301-8144 | 2019-01-17 |
| 1881128601 | Cynthia Jackson | Student in an Organized Health Care Education/Training Program | 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 | 2017-04-18 |
| 1396298451 | Cynthia Elaine Jackson | Technician, Other | 29167 Village Rd, Southfield, MI 48034-1222 | 2016-07-25 |
| 1255734331 | Cynthia R Jackson | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2014-10-02 |
| 1932534047 | Cynthia A Jackson | Home Health Aide | 2801 Eagle St, Houston, TX 77004-4543 | 2013-09-08 |
| Street Address |
6680 MAIN ST |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912276411 | Jennifer L Kovalick | Dietitian, Registered | 6680 Main St, Williamsville, NY 14221-5933 | 2011-12-29 |
| 1205141900 | Jolie Ruth Giardino | Social Worker | 6680 Main St, Williamsville, NY 14221-5933 | 2010-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| 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 |
|---|---|---|---|---|
| 1851866461 | Juliet Maloney, Lcsw, Pllc | Social Worker | 5500 Main St Ste 262, Williamsville, NY 14221-6746 | 2018-10-10 |
| 1497262547 | Jacqueline Richter | Social Worker | 8612 Main St Ste 1, Williamsville, NY 14221-7462 | 2018-01-10 |
| 1881099059 | Robert Schwartz | Social Worker | 49 Treebrooke Ct, Williamsville, NY 14221-2720 | 2014-10-29 |
| 1225454572 | Lori Badach | Social Worker | 2240 North Forest Rd, Williamsville, NY 14221 | 2014-03-11 |
| 1396090098 | Carol A Beyer | Social Worker | 2813 Wehrle Dr Ste 11, Williamsville, NY 14221-7384 | 2012-07-18 |
| 1073875605 | Electronic Gaming Therapy, Inc | Social Worker | 5888 Main St, Williamsville, NY 14221-5714 | 2012-06-11 |
| 1952611501 | Eili Kaganoff | Social Worker | 47 Bassett Rd, Williamsville, NY 14221-8020 | 2010-10-18 |
| 1881907665 | Kristi P. Smith | Social Worker | 8265 Sheridan Dr., Williamsville, NY 14031 | 2010-07-21 |
| 1528384963 | Darcy Frances Wallen | Social Worker | 95 Foxcroft Ln, Williamsville, NY 14221-3203 | 2010-04-09 |
| 1801098587 | Frank Boniface Endres | Social Worker | 4615 Hedgewood Dr, Williamsville, NY 14221-6149 | 2007-06-04 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on CYNTHIA ANN 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.