MS. BETTY JACKSON (NPI# 1649674623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649674623 |
| Entity Type | Individual |
| Full Name | MS. BETTY JACKSON |
| Credential | LGSW |
| Practice Address |
200 Booth St Elkton MD 21921-5657 |
| Practice Telephone | 4433503048 |
| Mailing Telephone | 4433503048 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
14599 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578711008 | Betty Hill Jackson | Audiologist | 901 Leighton Ave Ste 601, Anniston, AL 36207-5765 | 2008-09-09 |
| 1225312093 | Betty Jackson | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2011-09-28 |
| 1912027277 | Betty Jackson | Pharmacy Technician | 203 S Main St, Darlington, SC 29532-3953 | 2007-03-30 |
| Street Address |
200 BOOTH ST |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306867346 | Gabrielle Manske | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2006-07-23 |
| 1700483427 | Stephen Paul Kline | Counselor | 200 Booth St, Elkton, MD 21921-5657 | 2020-10-06 |
| 1760098891 | Sydney Shaye Fittro | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2020-09-23 |
| 1043829054 | Alaina Breanne Kahn | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2020-07-26 |
| 1619594488 | Helen Tracey | Counselor | 200 Booth St, Elkton, MD 21921-5657 | 2020-06-28 |
| 1003449661 | Rebecca M Hammonds | Counselor | 200 Booth St, Elkton, MD 21921-5657 | 2020-02-21 |
| 1972149995 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 200 Booth St, Elkton, MD 21921-5657 | 2019-11-25 |
| 1063057644 | Heather Miller | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2019-11-07 |
| 1114576329 | Kaitlyn Nicole Latham | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2019-09-10 |
| 1477102812 | Valerie Nicole Krisa | Specialist/Technologist | 200 Booth St, Elkton, MD 21921-5657 | 2019-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| 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 |
|---|---|---|---|---|
| 1427602481 | Slothsperity, LLC | Social Worker | 91 Bradley Run Rd, Elkton, MD 21921-3810 | 2019-07-29 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1215302716 | Rebecca Sutton Larson | Social Worker | 111 W High St Ste 204, Elkton, MD 21921-8611 | 2015-12-09 |
| 1003097999 | Stacy Erin Doney | Social Worker | 26 Chesters Way, Elkton, MD 21921-4506 | 2007-11-19 |
| 1306867346 | Gabrielle Manske | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2006-07-23 |
| 1275566572 | Nancy Rafert | Social Worker | 215 North St Ste D, Elkton, MD 21921-5505 | 2006-07-09 |
| 1457977910 | Holly Louise Hite | Social Worker | 1275b W Pulaski Hwy, Elkton, MD 21921-4719 | 2020-06-21 |
| 1023665577 | Frances Horzempa | Social Worker | 306 W Pulaski Hwy, Elkton, MD 21921-5217 | 2019-08-20 |
| 1316405921 | Courtney Ann Macdowell | Social Worker | 306 W Pulaski Hwy, Elkton, MD 21921-5217 | 2019-03-04 |
| Find all providers in ELKTON | ||||
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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.