MR. ALEXANDER ENACIO JACKSON


Address: 7200 Bancroft Ave, Suite 125-d, Alameda County Bhcs, Oakland, CA 94605-2403
Phone: 5107773877

MR. ALEXANDER ENACIO JACKSON (NPI# 1801816244) 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) 1801816244
Entity Type Individual
Full Name MR. ALEXANDER ENACIO JACKSON
Credential LCSW
Practice Address 7200 Bancroft Ave
Suite 125-d, Alameda County Bhcs
Oakland
CA 94605-2403
Mailing Address 3701 Park Boulevard Way
Oakland
CA 94610-2837
Practice Telephone 5107773877
Practice Fax Number 5107773880
Mailing Telephone 5105300767
Enumeration Date 2006-07-20
Last Update Date 2009-04-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LCS19196 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 7200 BANCROFT AVE
SUITE 125-D, ALAMEDA COUNTY BHCS
City OAKLAND
State CA
Zip Code 94605-2403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538777545 Cynthia Solorza Counselor 7200 Bancroft Ave, Oakland, CA 94605-2403 2020-07-15
1154963338 Grace Hong Counselor 7200 Bancroft Ave, Oakland, CA 94605-2403 2019-10-09
1114580636 Sarah G Chaaito Pharmacist 7200 Bancroft Ave, Oakland, CA 94605-2403 2019-04-19
1558848796 Kristina Marie Nestlerode Counselor 7200 Bancroft Ave, Oakland, CA 94605 2018-07-20
1558875864 Lizeth Corina Torres Chavez Specialist 7200 Bancroft Ave, Oakland, CA 94605-2403 2017-11-22
1932637915 Binh T Au Social Worker 7200 Bancroft Ave, Oakland, CA 94605-2403 2017-06-02
1922536374 Kelli Clark Social Worker 7200 Bancroft Ave, Oakland, CA 94605-2403 2017-05-30
1558808741 Karina Gabriela Paredes Specialist 7200 Bancroft Ave, Ste 267, Oakland, CA 94605-2403 2017-01-25
1306383088 Kally Price Registered Nurse 7200 Bancroft Ave, # 204, Oakland, CA 94605-2403 2017-01-19
1467998062 Kuang Zong Dietitian, Registered 7200 Bancroft Ave, Oakland, CA 94605-2403 2017-01-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275181190 Sarah Primack Counselor Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 2019-09-04
1285296475 Veronica Aguila Behavior Technician 2949 Parker Ave, Oakland, CA 94605 2019-07-08
1508321886 Terra Brown Brown Counselor One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 2019-01-31
1619447455 Elizabeth Niarhos Counselor 10850 Macarthur Blvd., Oakland, CA 94605 2018-12-04
1467930966 Claudia Sanchez Student in an Organized Health Care Education/Training Program 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 2018-08-06
1447768866 The Alliance for Community Wellness Community/Behavioral Health 2369 84th Ave., Oakland, CA 94605 2018-01-19
1497204010 Nekeisha Maxie Specialist 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 2016-09-23
1073997110 Sandra Lenoski Social Worker 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 2015-07-18
1366831414 Wing Kit Leung Physical Therapy Assistant 2445 64th Ave, Oakland, CA 94605 2015-01-13
1558647735 Jessica Welsh Counselor 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 2011-11-01
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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
1265030803 Alana Lyn Kapust Social Worker 590 El Dorado Ave Unit 210, Oakland, CA 94611-5071 2020-10-15
1497377527 Yurianna Hyechong Na Social Worker 1401 Jackson St Apt 501, Oakland, CA 94612-4086 2020-05-12
1861026080 Urban Catalyst Psychotherapy, A Licensed Clinical Social Worker Corpor Social Worker 2700 International Blvd Ste 21, Oakland, CA 94601-1508 2020-02-26
1336789643 Zosime Calame Social Worker 445 Bellevue Ave Ste 300, Oakland, CA 94610-4923 2020-01-14
1316581796 Joaquin Turner Social Worker 2232 Ivy Dr Apt 27, Oakland, CA 94606-1942 2019-10-29
1699324152 Brian Phanichkarn Social Worker 675 Hegenberger Rd Ste 214, Oakland, CA 94621-1989 2019-09-08
1306495007 Winnie Zhi Liao Social Worker 400 Roland Way, Oakland, CA 94621-2012 2019-09-05
1225686314 Victoria Anderson Social Worker 1038 57th St, Oakland, CA 94608-2706 2019-08-31
1881242279 Lauren Martin Social Worker 5231 Market St, Oakland, CA 94608-3254 2019-08-28
1639723703 Joanna La Torre Social Worker 4255 Howe St, Oakland, CA 94611-4704 2019-07-27
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Competitor

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City OAKLAND
Zip Code 94605

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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