MS. SHERRY JACKSON (NPI# 1710460100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710460100 |
| Entity Type | Individual |
| Full Name | MS. SHERRY JACKSON |
| Credential | LICSW |
| Practice Address |
108 Camp Fuller Rd Wakefield RI 02879-4500 |
| Practice Telephone | 4016332682 |
| Mailing Telephone | 4016332682 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
113080 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215580931 | Sherry Danielle Jackson | Counselor | 6301 S Clubview Cir, Bessemer, AL 35022-7041 | 2019-07-22 |
| 1801296736 | Sherry Jackson | Case Manager/Care Coordinator | 1711 Prince Ave, Athens, GA 30606-6009 | 2014-08-28 |
| 1356641674 | Sherry A Jackson | Massage Therapist | 9051 Mansfield Rd, Suite C-11, Shreveport, LA 71118-2674 | 2010-11-02 |
| 1275197865 | Sherry Jackson | Social Worker | 200 E Robinson St, Orlando, FL 32801-1945 | 2019-04-29 |
| 1295174829 | Sherry Jackson | Behavioral Analyst | 3225 Mcleod Dr Ste 100, Las Vegas, NV 89121-2257 | 2013-06-17 |
| 1386871937 | Sherry Lanette Jackson | Registered Nurse | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2009-06-22 |
| 1881833499 | Sherry Jackson | Internal Medicine | 1095 Park Ave, 2c, New York, NY 10128-1154 | 2009-02-05 |
| 1689828170 | Sherry Jackson | Speech-Language Pathologist | 1780 Kendarbren Dr, Jamison, PA 18929-1064 | 2008-11-11 |
| 1417171554 | Sherry Ann Jackson | Dietitian, Registered | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2007-04-12 |
| 1922136399 | Sherry Eva Jackson | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2007-02-28 |
| Street Address |
108 CAMP FULLER RD |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| 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 |
|---|---|---|---|---|
| 1063026094 | Mary Karen Eisner | Social Worker | 7 Lassell St, Wakefield, MA 01880-4102 | 2020-09-08 |
| 1720563422 | Ellen Patricia Harnen | Social Worker | 272 Albion St Apt 18, Wakefield, MA 01880-3160 | 2018-09-27 |
| 1871078949 | Lindsay Ashton Lawler | Social Worker | 21 Pitman Ave, Wakefield, MA 01880-4236 | 2018-09-25 |
| 1932682713 | Tracy Ellen Perkins | Social Worker | 183 Salem St, Wakefield, MA 01880-1989 | 2018-09-08 |
| 1679054803 | Bryan Edward Mcmullen Harter | Social Worker | 15 Dexter Ln, Wakefield, MA 01880-2031 | 2018-08-26 |
| 1518444520 | Carol Plotkin | Social Worker | 26 Francis Ave, Wakefield, MA 01880-3951 | 2018-07-23 |
| 1992169775 | Amy Fratto | Social Worker | 17 Wharton Park, Wakefield, MA 01880-2023 | 2016-04-07 |
| 1225491681 | Deborah Mccurdy | Social Worker | 264 Prospect Rd, Wakefield, RI 02879-7060 | 2016-04-03 |
| 1437522349 | Nathan Wilcox | Social Worker | 7 Eunice Cir, Wakefield, MA 01880-4910 | 2015-11-02 |
| 1518365188 | Sunrise Therapy LLC | Social Worker | 213 Robinson St Unit 10, Wakefield, RI 02879-3656 | 2014-12-15 |
| Find all providers in WAKEFIELD | ||||
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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.