MS. JEFFREY TACKETT (NPI# 1649264987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649264987 |
| Entity Type | Individual |
| Full Name | MS. JEFFREY TACKETT |
| Credential | LCSW |
| Practice Address |
3367 Hwy 119 N Mayking KY 41837 |
| Mailing Address |
115 Rockwood Ln Hazard KY 41701-9415 |
| Practice Telephone | 6066334439 |
| Practice Fax Number | 6064365797 |
| Mailing Telephone | 6064365761 |
| Mailing Fax Number | 6064365797 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2010-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6496 | KY | Behavioral Health & Social Service Providers |
| Street Address |
3367 HWY 119 N |
| City | MAYKING |
| State | KY |
| Zip Code | 41837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427364058 | Kristi Jackson | Counselor | 3367 Hwy 119 N, Mayking, KY 41837 | 2010-08-20 |
| 1669576096 | Robin Thomas | Counselor | 3367 Hwy 119 N, Mayking Mall, Mayking, KY 41837 | 2006-09-07 |
| 1619084134 | Cheryl Gibson | Counselor | 3367 Hwy 119 N, Mayking, KY 41837 | 2006-08-23 |
| 1942317466 | Angela Goff | Social Worker | 3367 Hwy 119 N, Mayking, KY 41837 | 2006-08-23 |
| 1154358794 | Lisa Marcum | Social Worker | 3367 Hwy 119 N, Mayking, KY 41837 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316054158 | Kristin Leigh Addington | Social Worker | 3367 Hwy 119 North, Mayking, KY 41837 | 2006-08-25 |
| 1295776409 | James Brashear | Social Worker | 336 Hwy 199 N, Mayking, KY 41837 | 2006-06-09 |
| 1588657944 | Susan Carol Houston | Social Worker | 3367 Hwy. 119 North, Mayking, KY 41837 | 2005-08-31 |
| 1053632620 | Nancy Hatton | Technician, Other | 3367 Hwy 119, Mayking, KY 41837 | 2010-06-18 |
| 1063732246 | Michael Sparks | Technician, Other | 3367 Hwy 119, Mayking, KY 41837 | 2010-06-10 |
| 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 |
|---|---|---|---|---|
| 1316054158 | Kristin Leigh Addington | Social Worker | 3367 Hwy 119 North, Mayking, KY 41837 | 2006-08-25 |
| 1295776409 | James Brashear | Social Worker | 336 Hwy 199 N, Mayking, KY 41837 | 2006-06-09 |
| 1588657944 | Susan Carol Houston | Social Worker | 3367 Hwy. 119 North, Mayking, KY 41837 | 2005-08-31 |
| 1942317466 | Angela Goff | Social Worker | 3367 Hwy 119 N, Mayking, KY 41837 | 2006-08-23 |
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|---|---|---|---|---|
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| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1609481464 | Gml Pain Md Psc | Social Worker | 110 Chase Way, Elizabethtown, KY 42701-7827 | 2020-09-09 |
| 1952915688 | Crossroads Therapy & Counseling LLC | Social Worker | 9910 Ky Route 581, River, KY 41254 | 2020-09-01 |
| 1972115699 | Christa Kay Butcher | Social Worker | 9910 Rt 581, River, KY 41254 | 2020-08-24 |
| 1568074136 | Jalena Louise Robertson Adams | Social Worker | 2218 Lyons Station Rd, New Haven, KY 40051-8723 | 2020-08-17 |
| 1649881368 | Melissa Lou Salisbury | Social Worker | 657 Warco Rd, Langley, KY 41645-6572 | 2020-08-14 |
| 1689283202 | Jenny K Delap | Social Worker | 202 E Vista St, Lexington, KY 40503-1327 | 2020-07-29 |
| 1295344489 | Haley Faye Price | Social Worker | 114 Brandywine Dr, Georgetown, KY 40324-1441 | 2020-07-24 |
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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.