PHILIP MORGAN JACKSON (NPI# 1780836437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780836437 |
| Entity Type | Individual |
| Full Name | PHILIP MORGAN JACKSON |
| Credential | LMSW |
| Practice Address |
220 Danville Corner Rd Auburn ME 04210-8605 |
| Mailing Address |
899 Riverside St Portland ME 04103-1070 |
| Practice Telephone | 2077950419 |
| Practice Fax Number | 2077950485 |
| Mailing Telephone | 2078711200 |
| Mailing Fax Number | 2078711232 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LM11566 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437174638 | Philip Jackson | Pediatrics | 2500 Hamlin Dr, Inkster, MI 48141-2348 | 2006-07-12 |
| 1811350705 | Philip Larkin Jackson IIi | Emergency Medicine | 211 E Ontario St, Suite 200, Chicago, IL 60611-3468 | 2016-03-30 |
| 1790963916 | Philip Rodney Jackson | Dentist | 3790 Fernandina Rd, Suite 201, Columbia, SC 29210-3864 | 2008-02-11 |
| 1306852678 | Philip C Jackson Jr. | Internal Medicine | 1301 W 38th St #205, Austin, TX 78705-1011 | 2006-07-31 |
| Street Address |
220 DANVILLE CORNER RD |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861580268 | Abbey O'connor | Social Worker | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2006-10-11 |
| 1508397530 | Caitlin Beling | Social Worker | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2017-03-22 |
| 1649713256 | Kristina Moyer | Social Worker | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2016-11-30 |
| 1619424876 | Halley Alfano | Counselor | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2016-09-06 |
| 1679940019 | Susan Salomon | Social Worker | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2015-09-01 |
| 1780018119 | Stacey Jenkins | Counselor | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2013-08-21 |
| 1336580588 | Papawadee Yooman | Social Worker | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2013-07-16 |
| 1831434265 | Margaret Leigh Roberts | Social Worker | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2012-12-12 |
| 1427308709 | Blythe Ellen Edwards | Counselor | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2012-09-14 |
| 1073801270 | Andrea Millett Marecaux | Social Worker | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2011-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| 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 |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1952927733 | Terri Quatrano Simpson, Lcsw, LLC | Social Worker | 79 Main St Ste 201, Auburn, ME 04210-5811 | 2020-06-17 |
| 1881218444 | Kenia Ramirez Hernandez | Social Worker | 29206 45th Pl S, Auburn, WA 98001-2814 | 2020-05-29 |
| 1518510478 | Karri Beling | Social Worker | 155 Center St Bldg E, Auburn, ME 04210-5229 | 2019-07-19 |
| 1043870140 | Shelby Mccartney | Social Worker | 118 N Ross St Ste 2, Auburn, AL 36830-4869 | 2019-06-19 |
| 1578036356 | Nancy Prostak | Social Worker | 3 Lesley Ave, Auburn, MA 01501-3105 | 2019-01-04 |
| 1710456454 | John Charles Rocheford | Social Worker | 7 Magna Vista Dr, Auburn, MA 01501-1215 | 2018-11-23 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1538672761 | Kimberly Jean Hanscom | Social Worker | 270 Minot Ave, Auburn, ME 04210-4838 | 2017-11-09 |
| 1881105096 | Christine E Downing | Social Worker | 220 Conrey Dr, Auburn, AL 36830-6104 | 2017-10-14 |
| Find all providers in AUBURN | ||||
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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.