EBONY CONERLY JACKSON (NPI# 1730564279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730564279 |
| Entity Type | Individual |
| Full Name | EBONY CONERLY JACKSON |
| Credential | LCSW, BACS |
| Practice Address |
23791 Southpoint Dr Denham Springs LA 70726-6856 |
| Practice Telephone | 2252846249 |
| Mailing Telephone | 2252846249 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9158 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749597 | Ebony Jackson | Counselor | 11510 Homestead Rd Ste 295, Houston, TX 77016-1237 | 2020-10-27 |
| 1164073334 | Ebony Jackson | Pharmacy Technician | 145 Emanuel Farm Rd Lot 77, Brunswick, GA 31525-2469 | 2019-09-27 |
| 1750848800 | Ebony Jackson | Doula | 12158 Alexandra Dr, Jacksonville, FL 32218-8883 | 2019-02-25 |
| 1699094326 | Ebony Marie Jackson | Licensed Practical Nurse | 39 Dunbar St, Rochester, NY 14619-2142 | 2010-05-20 |
| 1356678197 | Ebony Jackson | Licensed Practical Nurse | 4754 E 175th St, Cleveland, OH 44128-3932 | 2009-11-16 |
| 1225636582 | Ebony Jamice Jackson | Registered Nurse | 3601 Shady Timber Dr, Twinsburg, OH 44087-4945 | 2020-10-09 |
| 1568025807 | Ebony Jackson | Social Worker | 1655 Burlington Pike Ste 101, Florence, KY 41042-4909 | 2019-04-22 |
| 1639681331 | Ebony Craig Jackson | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2017-11-02 |
| 1871022699 | Ebony Jackson | Counselor | 3084 Westfork Dr Ste C, Baton Rouge, LA 70816-2254 | 2017-06-06 |
| 1477904357 | Ebony Jackson | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2016-06-22 |
| Street Address |
23791 SOUTHPOINT DR |
| City | DENHAM SPRINGS |
| State | LA |
| Zip Code | 70726-6856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821470188 | Ebony C Jackson LLC | Clinic/Center | 23791 Southpoint Dr, Denham Springs, LA 70726-6856 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
| 1306456231 | Jinci Strahan | Registered Nurse | 24495 La-16, Denham Springs, LA 70726 | 2020-08-05 |
| 1568085058 | Bailey Brumley | Case Manager/Care Coordinator | 106 Business Park Ave, Denham Springs, LA 70726 | 2020-05-19 |
| 1518527977 | Papa's Farmacia Via Luzianna LLC | Pharmacy | 25831 Walker South Rd Ste 1, Denham Springs, LA 70726 | 2019-06-18 |
| 1265995807 | Michael Jacob Efferson | Counselor | 303 Veteran Blvd, Denham Springs, LA 70726 | 2019-04-10 |
| 1477031524 | Melissa Sepeda | Social Worker | 1110 South Range Ave, Denham Springs, LA 70726 | 2018-07-31 |
| 1215420633 | Tiffany Summers | Counselor | 30826 Linder Road, Denham Springs, LA 70726 | 2018-06-11 |
| 1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
| 1780130369 | Bonnie Pettyjohn | Counselor | 25560 Oak Hill Rd, Denham Springs, LA 70726 | 2016-09-01 |
| 1053769794 | Southeast Community Health Systems | Clinic/Center | 25753 Walker Road South, Denham Springs, LA 70726 | 2016-06-02 |
| Find all providers in zip 70726 | ||||
| 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 |
|---|---|---|---|---|
| 1891336806 | Treva A Parolli-barnes | Social Worker | 510 N Range Ave, Denham Springs, LA 70726-2925 | 2019-10-01 |
| 1295382349 | Lisa Mucker | Social Worker | 1234 Del Este Ave Ste 901, Denham Springs, LA 70726-4828 | 2019-08-23 |
| 1801354337 | Daybreak Therapy Solutions | Social Worker | 1234 Del Este Ave Ste 602, Denham Springs, LA 70726-4828 | 2019-03-04 |
| 1477031524 | Melissa Sepeda | Social Worker | 1110 South Range Ave, Denham Springs, LA 70726 | 2018-07-31 |
| 1710330949 | Jessica Noel Andrus | Social Worker | 510 N Range Ave Ste A, Denham Springs, LA 70726-2925 | 2016-07-22 |
| 1497111629 | Melanie Washington | Social Worker | 23925 Southpoint Dr, Denham Springs, LA 70726-6734 | 2016-01-04 |
| 1194116897 | Lisa Theriot | Social Worker | 31091 Blossom St, Denham Springs, LA 70726-1341 | 2015-02-17 |
| 1740576081 | Martha Loflin Wilson | Social Worker | 904 Government St., Denham Springs, LA 70726 | 2011-06-24 |
| 1699076364 | Metamorphosis Counseling Center, LLC. | Social Worker | 1457 4h Club Rd, Suite C, Denham Springs, LA 70726-4972 | 2010-11-10 |
| 1265689822 | Samuel Troy Rogers | Social Worker | 940 Government St, Denham Springs, LA 70726-3633 | 2008-08-25 |
| Find all providers in DENHAM SPRINGS | ||||
| City | DENHAM SPRINGS |
| Zip Code | 70726 |
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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.