PRECIOUSTONI JACKSON (NPI# 1790250116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790250116 |
| Entity Type | Individual |
| Full Name | PRECIOUSTONI JACKSON |
| Practice Address |
401 S Fair Oaks Ave Pasadena CA 91105-2603 |
| Practice Telephone | 6263044000 |
| Mailing Telephone | 6263044000 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
79155 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
401 S FAIR OAKS AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548223266 | Sandra Ileana Diaz | Physician Assistant | 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 | 2006-04-11 |
| 1407114515 | Nitin Ubhayakar | Student in an Organized Health Care Education/Training Program | 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 | 2012-04-26 |
| 1356589451 | Alice Suh | Pharmacist | 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 | 2009-01-27 |
| 1710165592 | Barbara Jean Voigt | Registered Nurse | 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 | 2008-02-04 |
| 1578628731 | Phillip Howard Anderson Lee | Dermatology | 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 | 2006-12-27 |
| 1851484661 | John Miguel | Family Medicine | 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 | 2006-10-02 |
| 1710090816 | Timothy Cross Ballard | Surgery | 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 | 2006-08-16 |
| 1801802228 | Warren Shu | Internal Medicine | 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 | 2006-07-31 |
| 1437172970 | Victor Nhat-chieu Luu | Family Medicine | 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 | 2006-07-25 |
| 1841257342 | Daniel Carl Moore | Internal Medicine | 401 S Fair Oaks Ave, Pasadena, CA 91105-2603 | 2006-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| 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 |
|---|---|---|---|---|
| 1013524362 | Abigail Resendiz-zuniga | Social Worker | 459 E Colorado Blvd, Pasadena, CA 91101-2024 | 2020-09-29 |
| 1689287948 | Chris and Glorias Space LLC | Social Worker | 1055 E Colorado Blvd Ste 5198, Pasadena, CA 91106-2327 | 2020-08-26 |
| 1306458260 | Jennifer C Kerr | Social Worker | 1417 N Mentor Ave, Pasadena, CA 91104-2427 | 2020-08-20 |
| 1427518893 | Maricel Veluz | Social Worker | 595 E Colorado Blvd Ste 612b, Pasadena, CA 91101-2015 | 2019-03-22 |
| 1770041436 | Leticia C Lara | Social Worker | 236 W Mountain St Ste 201, Pasadena, CA 91103-2969 | 2019-03-12 |
| 1861966897 | Cynthia Clark Hunter | Social Worker | 130 S Euclid Ave Ste 3, Pasadena, CA 91101-2471 | 2019-01-12 |
| 1295202422 | Stephanie Rose Van | Social Worker | 440 S Marengo Ave, Pasadena, CA 91101-3113 | 2018-10-25 |
| 1932681723 | Tracey Bush | Social Worker | 393 E Walnut St Fl 64w196, Pasadena, CA 91188-0001 | 2018-08-29 |
| 1548759269 | Katrin Lynn Koutassevitch | Social Worker | 200 E Del Mar Blvd Ste 119a, Pasadena, CA 91105-2551 | 2018-05-08 |
| 1063919751 | Paris Silva | Social Worker | 1165 E Claremont St, Pasadena, CA 91104-2906 | 2018-04-09 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on PRECIOUSTONI JACKSON.
| 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.