KIMBERLY ANN JACKSON


Address: 781 36th St Se, Grand Rapids, MI 49548-2319
Phone: 6162485272

KIMBERLY ANN JACKSON (NPI# 1750492336) 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) 1750492336
Entity Type Individual
Full Name KIMBERLY ANN JACKSON
Credential LMSW
Practice Address 781 36th St Se
Grand Rapids
MI 49548-2319
Mailing Address 1505 Spencer St Ne
Grand Rapids
MI 49505-5530
Practice Telephone 6162485272
Practice Fax Number 6162432302
Mailing Telephone 6168189855
Enumeration Date 2006-08-31
Last Update Date 2008-12-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
6801086964 MI Behavioral Health & Social Service Providers

Other Providers KIMBERLY JACKSON

NPI Name Taxonomy Address Enumeration
1457951394 Kimberly Sue Jackson Home Health Aide 26 W Warner Rd, Coventry Township, OH 44319-1732 2020-10-29
1588278600 Kimberly Jackson Counselor 2703 N Harrison St, Wilmington, DE 19802-2924 2020-09-04
1184244063 Kimberly Jackson Music Therapist 121 Koeppe Dr, Sequim, WA 98382-9489 2020-04-21
1588293278 Kimberly Dianne Billie Jackson Nurse Practitioner 940 Morningside Dr, Sumter, SC 29153-7724 2020-04-04
1710418355 Kimberly Jackson Specialist/Technologist 2402 High Star Dr, Garland, TX 75041-3236 2017-03-24
1386188332 Kimberly Jackson Dietitian, Registered 2318 Longcourt Way Se, Atlanta, GA 30339-0902 2016-12-10
1336682780 Kimberly Marie Jackson Nurse Practitioner 128 Professional Park Dr Unit B, Conway, SC 29526-9260 2016-12-02
1639535719 Kimberly Renee Jackson Massage Therapist 9175 Cypress Waters Blvd Apt 102, Coppell, TX 75019-5068 2016-01-05
1275934887 Kimberly Jackson Counselor 213 Barrett St, Wilmington, DE 19802-2004 2014-09-15
1972930279 Kimberly Jackson Nurse's Aide 4020 Ulmer Rd, 220, Columbia, SC 29209-3305 2013-10-01

Office Location

Street Address 781 36TH ST SE
City GRAND RAPIDS
State MI
Zip Code 49548-2319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255883252 Kaleigh Nicole Kleyn Case Manager/Care Coordinator 781 36th St Se, Grand Rapids, MI 49548-2319 2016-10-26
1154774701 Hannah Zwart Case Manager/Care Coordinator 781 36th St Se, Grand Rapids, MI 49548-2319 2016-07-19
1962884387 Leezanne Zeng Family Medicine 781 36th St Se, Grand Rapids, MI 49548-2319 2015-06-22
1700287448 Trinity Health - Michigan Clinic/Center 781 36th St Se, Grand Rapids, MI 49548-2319 2014-09-12
1447663844 Garrett Caldwell Family Medicine 781 36th St Se, Grand Rapids, MI 49548-2319 2014-06-04
1326477209 Justine Sawyer Case Manager/Care Coordinator 781 36th St Se, Grand Rapids, MI 49548-2319 2013-11-01
1518304716 Katherine Mae Mokma Case Manager/Care Coordinator 781 36th St Se, Grand Rapids, MI 49548-2319 2013-05-29
1164765681 Johnathon Mitt Wilson Case Manager/Care Coordinator 781 36th St Se, Grand Rapids, MI 49548-2319 2013-04-03
1679811780 Shari L Hasford Case Manager/Care Coordinator 781 36th St Se, Grand Rapids, MI 49548-2319 2013-01-24
1386982890 Nikkea Kelley Case Manager/Care Coordinator 781 36th St Se, Grand Rapids, MI 49548-2319 2013-01-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205319811 Pooja Patel Social Worker Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 2018-09-10
1063906865 Kimberly Eccher Physician Assistant 300 68th St. Se, Grand Rapids, MI 49548 2018-06-15
1871099481 Baymark of Michigan, Inc. Clinic/Center 5500 Division Avenue Se, Kentwood, MI 49548 2018-04-03
1629507801 Laura Marie Quennoz Psychiatry & Neurology Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 2017-06-09
1821548504 Alison Anderson Technician, Other 103 Roth St Se, Grand Rapids, MI 49548 2016-10-06
1831540152 Jesse Aubil Counselor 264 Montebello St. Se 49548, Grand Rapids, MI 49548 2016-06-28
1306237920 Sarah Benton Social Worker 225 Colrain St Sw, 2, Grand Rapids, MI 49548 2015-02-18
1578996856 Karen Marie Irving Social Worker 3353 Lousma Dr. Se, Wyoming, MI 49548 2013-08-09
1740348044 Robert Kenneth Richmond Preventive Medicine 551 36th Street. Se, Wyoming, MI 49548 2006-12-05
1386738953 Sharita Montiez Hall Social Worker 300 68th Street Se, Grand Rapids, MI 49548 2006-10-03
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225639560 Ananya Avinash Social Worker 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 2020-11-03
1982203485 Becoming You Therapy Pllc Social Worker 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 2020-10-26
1235738774 Huffman Counseling Services LLC Social Worker 1950 Waldorf St Nw Ste E, Grand Rapids, MI 49544-1488 2020-10-24
1730795816 Elizabeth Anne Maher Social Worker 1519 Pontiac Rd Se, Grand Rapids, MI 49506-3367 2020-09-23
1437764511 Titiana Shanee Richardson Social Worker 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 2020-09-15
1205448834 Rose Training & Education, LLC Social Worker 156 Hillview Ave Ne, Grand Rapids, MI 49503-3824 2020-08-17
1497366967 Krista L. Leinberger, LLC Social Worker 548 Fairview Ave Ne Apt 1, Grand Rapids, MI 49503-2581 2020-08-10
1609493782 Lauren Anne Tarkiewicz Social Worker 700 Alger St Se, Grand Rapids, MI 49507-3531 2020-07-06
1841814779 Molly Ballantyne Social Worker 1166 Hall St Se, Grand Rapids, MI 49507-1971 2020-06-06
1942839238 Patricia Hickey Msw Social Worker 2020 Raybrook St Se Ste 301, Grand Rapids, MI 49546-7717 2020-04-07
Find all providers in GRAND RAPIDS

Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49548

Improve Information

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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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