MR. DONALD JOHN JACKSON (NPI# 1811185721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811185721 |
| Entity Type | Individual |
| Full Name | MR. DONALD JOHN JACKSON |
| Credential | LICSW |
| Practice Address |
63 Harmony Hill Rd Chepachet RI 02814-1429 |
| Practice Telephone | 4019490690 |
| Practice Fax Number | 4019492060 |
| Mailing Telephone | 4019490690 |
| Mailing Fax Number | 4019492060 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW00561 | RI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700200086 | Donald Jackson Jr. | Preventive Medicine | 2500 E Grand Blvd, Medical Dept, Detroit, MI 48211-2006 | 2014-02-07 |
| 1942577200 | Donald Jefferson Jackson | Social Worker | 434 Atkinson St, Laurinburg, NC 28352-3714 | 2011-11-30 |
| 1366684839 | Donald Wayne Jackson | Case Manager/Care Coordinator | 3434 Mount Burnside Way, Woodbridge, VA 22192-1013 | 2009-03-30 |
| 1760500649 | Donald William Jackson | Dentist | 1909 A Mission 66, Vicksburg, MS 39180-3711 | 2007-03-27 |
| 1588722466 | Donald A Jackson | Psychologist | Nced Ms 285, University of Nevada, Reno, Reno, NV 89557-1285 | 2006-12-05 |
| 1215310115 | Donald Lee Jackson Jr. | Counselor | 1030 Village Dr Ste B, Watkinsville, GA 30677-6004 | 2015-07-09 |
| 1588876965 | Donald Murphy Jackson | Dentist | 712 S Main St, North East, MD 21901-4126 | 2007-05-05 |
| 1609997584 | Donald L Jackson | Counselor | 1012 14th St Nw, Suite 1000, Washington, DC 20005-3403 | 2007-04-02 |
| 1407947039 | Donald J. Jackson | Physician Assistant | 185 Grafton Rd., Townshend, VT 05353 | 2006-09-27 |
| 1740238153 | Donald E Jackson Jr. | Radiology | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2006-05-05 |
| Street Address |
63 HARMONY HILL RD |
| City | CHEPACHET |
| State | RI |
| Zip Code | 02814-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265565469 | Linda Marie Mobriant | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2007-03-14 |
| 1366955007 | Heather Child Quercia | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2017-11-15 |
| 1649783044 | Andrew N Goins | Counselor | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2017-11-08 |
| 1962828111 | Linda Montminy | Counselor | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2014-03-12 |
| 1669803896 | John Breault | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2013-12-13 |
| 1942635784 | Harmony Hill School | Residential Treatment Facility, Emotionally Disturbed Children | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2013-09-12 |
| 1003240334 | Harmony Hill School | Residential Treatment Facility, Emotionally Disturbed Children | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2013-08-22 |
| 1477841344 | Kimberly Catherine O'connell | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2011-07-13 |
| 1689963407 | Wendy M Sousa | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2011-04-01 |
| 1669771374 | Tania A Antonio | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2011-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396950762 | Orthodontic Partners Ltd | Dentist | 1109 Putnam Pike, Chepachet, RI 02814 | 2007-05-11 |
| 1679691513 | Chepachet Fire District | Ambulance | 1170 Putnam Pike, Chepachet, RI 02814 | 2007-03-27 |
| 1609950831 | Clayton D Lanphear IIi | Family Medicine | 1133 Main St, Chepachet, RI 02814 | 2006-10-24 |
| 1578652400 | Heritage Podiatry, Inc. | Podiatrist | 5 Money Hill Road, Chepachet, RI 02814 | 2006-10-11 |
| 1295832186 | Matthew Michael Stone | Chiropractor | 712 Putnam Pike, Unit # 4, Chepachet, RI 02814 | 2006-09-20 |
| 1730364316 | Glocester Family Chiropractic, Inc | Chiropractor | 712 Putnam Pike, Unit # 4, Chepachet, RI 02814 | 2008-01-02 |
| 1184731879 | Chepachet Pharmacy, Inc. | Pharmacy | 15 Money Hill Rd, Chepachet, RI 02814-0901 | 2006-08-25 |
| 1669460028 | West Glocester Fire Tax District | Ambulance | 2410 Putnam Pike, Chepachet, RI 02814-1147 | 2005-10-11 |
| 1932715356 | Brianna Putnam | Nurse Practitioner | 44 Brandy Brook Rd, Chepachet, RI 02814-1207 | 2020-09-21 |
| 1750537056 | Heritage Podiatry Inc. | Clinic/Center | 5 Money Hill Rd, Chepachet, RI 02814-1304 | 2008-08-18 |
| Find all providers in zip 02814 | ||||
| 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 |
|---|---|---|---|---|
| 1508374380 | Jamie Pease | Social Worker | 799 Chestnut Hill Rd, Chepachet, RI 02814-1835 | 2018-01-16 |
| 1265565469 | Linda Marie Mobriant | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2007-03-14 |
| 1366955007 | Heather Child Quercia | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2017-11-15 |
| 1669803896 | John Breault | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2013-12-13 |
| 1477841344 | Kimberly Catherine O'connell | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2011-07-13 |
| 1689963407 | Wendy M Sousa | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2011-04-01 |
| 1669771374 | Tania A Antonio | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2011-03-21 |
| 1891091054 | Carol E. Knight | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2011-02-07 |
| 1841479979 | Paul F. Barry | Social Worker | 63 Harmony Hill Rd, C/o Harmony Hill School, Chepachet, RI 02814-1429 | 2007-10-25 |
| 1841489556 | Saara Aino Slevinsky | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2007-10-18 |
| Find all providers in CHEPACHET | ||||
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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.