MICHAEL JACKSON


Address: 128 Mute Swan Place, Newark, DE 19711
Phone: 7863338982

MICHAEL JACKSON (NPI# 1639625833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639625833
Entity Type Individual
Full Name MICHAEL JACKSON
Credential M.A., N.C.C,
Practice Address 128 Mute Swan Place
Newark
DE 19711
Mailing Address 2415 E Eric Dr
Wilmington
DE 19808-4206
Practice Telephone 7863338982
Mailing Telephone 7863338982
Enumeration Date 2016-08-28
Last Update Date 2016-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
AC-0000107 DE Behavioral Health & Social Service Providers

Other Providers MICHAEL JACKSON

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1467823104 Michael Jackson Occupational Therapy Assistant 1913 N Oakes St Apt D, Tacoma, WA 98406-7527 2015-10-07
1831576651 Michael Howard Jackson Family Medicine 4646 Nw Fielding Road, Topeka, KS 66618 2015-04-30
1063809846 Michael Jackson Social Worker 43518 Champlain Ct, Canton, MI 48188-1711 2015-04-20
1780922872 Michael A Jackson Pharmacist 585 Mcwilliams Rd Se Unit 2303, Atlanta, GA 30315-7571 2013-01-23
1790045763 Michael A Jackson Pharmacist 123 East South Main St, Littleton, NC 27850 2012-05-23

Office Location

Street Address 128 MUTE SWAN PLACE
City NEWARK
State DE
Zip Code 19711

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942826516 Shondell White Social Worker 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 2020-06-19
1861024838 Judith Benedict Pantalino Counselor 950 Library Avenue, Suite 104, Newark, DE 19711 2020-02-07
1942842935 Lauren Barile Social Worker 2644 Kirkwood Highway #250, Newark, DE 19711 2019-10-11
1164993143 Sandra Cooper, Rn, Lpcmh, LLC Counselor 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 2018-12-17
1568944999 Body Brain Sync, Inc Physical Medicine & Rehabilitation 412 Capitol Trail, Newark, DE 19711 2018-09-01
1528550514 Levin Andrew Tucker Counselor 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 2018-06-05
1124515606 Elizabeth Caccavone Counselor 1423 Capitol Trail Rd, Newark, DE 19711 2018-04-19
1366960924 Bradley Hunter Behavioral Analyst 625 Barksdale Road Suite 113, Newark, DE 19711 2017-09-05
1720504905 Tri-state Physicians Inc Internal Medicine 266 South College Ave, Newark, DE 19711 2017-08-18
1811427123 Erin Cliffe Social Worker 3303 Drummond Plz, Newark, DE 19711 2017-06-19
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811502115 Jaclyn Marie Tomasetti Counselor 5 Cognac Dr, Newark, DE 19702-5507 2020-09-14
1770195422 Emily S Moley Counselor 125 Blossom Rd, Newark, NY 14513-2010 2020-08-23
1871104000 Jump Kids LLC Counselor 16 Foster St, Newark, NJ 07114-1327 2020-08-11
1326665480 Deandra Guzman Counselor 431-435 18th Avenue, Newark, NJ 07108 2020-07-06
1992328587 Steven Forrester Coleman Sr. Counselor 276 E Main St Ste 203, Newark, DE 19711-7356 2020-05-18
1851912620 Shaista Sowell Counselor 162 Clinton Pl, Newark, NJ 07112-1602 2020-05-02
1861024838 Judith Benedict Pantalino Counselor 950 Library Avenue, Suite 104, Newark, DE 19711 2020-02-07
1275173049 Ibn Abdush Musa Ahmad Counselor 182 Johnson Ave, Newark, NJ 07108-2709 2020-01-09
1629617303 Alyana Blythe Counselor 262 Chapman Rd Bldg Suite100, Newark, DE 19702-5448 2019-12-30
1194364141 Healing Source LLC Counselor 35 Wenark Dr Apt 2, Newark, DE 19713-1445 2019-12-21
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Competitor

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City NEWARK
Zip Code 19711

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Dataset Information

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.

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