MEGHAN JACKSON (NPI# 1811543804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811543804 |
| Entity Type | Individual |
| Full Name | MEGHAN JACKSON |
| Credential | LCSW |
| Practice Address |
223 Lancaster Way Richmond Hill GA 31324-4458 |
| Practice Telephone | 9124012772 |
| Practice Fax Number | 9123480116 |
| Mailing Telephone | 9124012772 |
| Mailing Fax Number | 9123480116 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW006266 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 223 Lancaster Way, Richmond Hill, GA 313244458 | 9124012772 | 9123480116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599786 | Meghan E Jackson | Clinic/Center | 781 Bayridge Blvd, Willowick, OH 44095-4241 | 2020-02-06 |
| 1740832906 | Meghan Reid Jackson | Specialist/Technologist | 777 Summer Breeze Dr, Baton Rouge, LA 70810-6187 | 2019-07-09 |
| 1861719726 | Meghan E Jackson | Physical Therapist | 29255 Northwestern Hwy., Suite 300, Southfield, MI 48034-5742 | 2010-04-30 |
| 1336703974 | Meghan Nicole Jackson | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2019-04-29 |
| 1558870774 | Meghan T Jackson | Counselor | 1100 New Britain Ave Ste 201, West Hartford, CT 06110-2447 | 2017-09-20 |
| 1225450422 | Meghan Jackson | Skilled Nursing Facility | 13550 S Outer 40 Rd, Chesterfield, MO 63017-5812 | 2014-01-08 |
| 1316235286 | Meghan Durrett Jackson | Speech-Language Pathologist | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2011-07-13 |
| 1407984768 | Meghan Genelle Jackson | Pediatrics | 3030 Randolph Rd, Suite 102, Charlotte, NC 28211-1368 | 2007-03-01 |
| Street Address |
223 LANCASTER WAY |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324-4458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| 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 |
|---|---|---|---|---|
| 1700484102 | Nicole Elisabeth Kohl | Social Worker | 70 Sunbury Ct, Richmond Hill, GA 31324-9621 | 2020-10-16 |
| 1598362428 | Alpana Patel | Social Worker | 11701 Park Ln S Apt B3i, Richmond Hill, NY 11418-1035 | 2020-10-04 |
| 1295257830 | Stacy Dee Benbrooks | Social Worker | 99 Bea Rd, Richmond Hill, GA 31324-3329 | 2017-07-14 |
| 1770770869 | Laurie A Teixeira | Social Worker | 128 Frances Meeks Way Ste 6, Suite B, Richmond Hill, GA 31324-3984 | 2007-10-02 |
| 1215140512 | Anthony J Liotta | Social Worker | 8423 114th St, Richmond Hill, NY 11418-1344 | 2007-05-07 |
| 1609915446 | Pamela M Holmes | Social Worker | 9998 Ford Ave, Suite 5, Richmond Hill, GA 31324-4063 | 2007-02-06 |
| 1720181985 | Meredith K. Wolrich | Social Worker | 2451a Us Highway 17, Richmond Hill, GA 31324-3397 | 2006-09-06 |
| 1548216948 | Barry I. Agoado | Social Worker | 10917 86th Ave, Richmond Hill, NY 11418-1608 | 2006-05-26 |
| 1992758072 | Joan (joni) C Haynes | Social Worker | 9998 Ford Ave Ste 5, Richmond Hill, GA 31324-4062 | 2006-05-18 |
| 1295784965 | Sybil W. Dudley | Social Worker | 50 Ford Way Ste 103, Richmond Hill, GA 31324-4438 | 2006-05-09 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
Please comment or provide details below to improve the information on MEGHAN 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.