MR. REGINALD CHRISTOPHER JACKSON (NPI# 1750618336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750618336 |
| Entity Type | Individual |
| Full Name | MR. REGINALD CHRISTOPHER JACKSON |
| Credential | LSCSW |
| Practice Address |
901 Kentucky St Ste 306 Lawrence KS 66044-2858 |
| Practice Telephone | 8163777398 |
| Practice Fax Number | 8168731364 |
| Mailing Telephone | 8163777398 |
| Mailing Fax Number | 8168731364 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2018-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2015021883 | MO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4352 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200629810C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530104 | Reginald P Jackson | Social Worker | 4081 Southwick Drive, 3rd Floor, Matteson, IL 60443-6044 | 2020-05-22 |
| 1396236410 | Reginald Courtney Jackson | Case Manager/Care Coordinator | 1302 Waugh Dr # 834, Houston, TX 77019-3908 | 2018-05-24 |
| 1295891562 | Reginald Jackson | Counselor | 7425 Edward St, New Orleans, LA 70126-2013 | 2006-12-29 |
| 1619505021 | Reginald Jackson | Behavior Technician | 3000 Latrobe Dr, Charlotte, NC 28211-5226 | 2020-03-31 |
| 1932517695 | Reginald Jackson | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2014-07-25 |
| 1154427615 | Reginald Roberts Jackson | Internal Medicine | 35 Collier Rd Nw, Suite 635, Atlanta, GA 30309 | 2006-09-15 |
| Street Address |
901 KENTUCKY ST STE 306 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720107535 | Alicia Marie Lawrence | Social Worker | 901 Kentucky St Ste 306, Lawrence, KS 66044-2858 | 2007-03-29 |
| 1801446117 | Jonathan Blum | Social Worker | 901 Kentucky St Ste 306, Lawrence, KS 66044-2858 | 2019-09-18 |
| 1578064861 | Jackson Psychotherapy, LLC | Clinic/Center | 901 Kentucky St Ste 306, Lawrence, KS 66044-2858 | 2018-02-22 |
| 1154846533 | Jackson Psychotherapy, LLC | Social Worker | 901 Kentucky St Ste 306, Lawrence, KS 66044-2858 | 2017-08-07 |
| 1548620271 | Sandra Dexter | Social Worker | 901 Kentucky St Ste 306, Lawrence, KS 66044-2858 | 2016-02-23 |
| 1639454622 | Lawrence Family Therapy, LLC | Social Worker | 901 Kentucky St Ste 306, Lawrence, KS 66044-2858 | 2011-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
| Find all providers in zip 66044 | ||||
| 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 |
|---|---|---|---|---|
| 1548869241 | Dahlia Counseling Services, LLC | Social Worker | 719 Massachusetts St Ste 112, Lawrence, KS 66044-2345 | 2020-10-22 |
| 1821601980 | Elizabeth Jane Abbott | Social Worker | 370 Merrimack St Ste 240, Lawrence, MA 01843-1789 | 2020-08-28 |
| 1396371977 | Andrea Michelle Lebeau | Social Worker | 1114 Rhode Island St, Lawrence, KS 66044-3062 | 2020-03-16 |
| 1295382026 | Ariel Martensen Cefalo | Social Worker | 12 Methuen St Ste 3, Lawrence, MA 01840-1772 | 2019-08-26 |
| 1396209888 | Jessica Marie Ermler | Social Worker | 474 Hutton Cir, Lawrence, KS 66049-4845 | 2019-01-29 |
| 1225512668 | Lynda Page | Social Worker | 290 Merrimack St Ste 206, Lawrence, MA 01843-1782 | 2018-09-21 |
| 1679056808 | Lori Samse | Social Worker | 150 Berkeley St, Lawrence, MA 01841-1224 | 2018-09-13 |
| 1619463445 | Amanda Victoria Nieliwocki | Social Worker | 48 Chamberlin Ct, Lawrence, NJ 08648-2624 | 2018-07-04 |
| 1851883664 | Laurie M Wernik | Social Worker | 280 Merrimack St Fl 2, Lawrence, MA 01843-1779 | 2018-06-06 |
| 1710489935 | Maureen Lyn Deangelis | Social Worker | Robert Frost Elementary School, 33 Hamlet Street, Lawrence, MA 01843 | 2018-03-03 |
| Find all providers in LAWRENCE | ||||
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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.