MRS. NICOLE VANESSA JACKSON (NPI# 1841420346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841420346 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE VANESSA JACKSON |
| Other Name | MRS. NICOLE VANESSA VAUGHN |
| Credential | LMSW |
| Practice Address |
39293 Plymouth Rd Ste 109a Livonia MI 48150-1060 |
| Mailing Address |
39293 Plymouth Rd Suite 109a Livonia MI 48150-1060 |
| Practice Telephone | 3133091479 |
| Practice Fax Number | 3133091476 |
| Mailing Telephone | 3342015052 |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801089011 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184689 | Nicole Jackson | Specialist | 3983 Thunder Heights Ln, Middleburg, FL 32068-7362 | 2014-08-05 |
| 1053745521 | Nicole L Jackson | Counselor | 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 | 2013-09-02 |
| 1245569276 | Nicole Denise Jackson | Licensed Practical Nurse | 2122 Ridge Rd W, Rochester, NY 14626-2802 | 2009-12-22 |
| 1144559931 | Nicole L Jackson | Licensed Practical Nurse | 18680 Main Street, Tontogany, OH 43565 | 2009-12-08 |
| 1144489261 | Nicole L. Jackson | Counselor | 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 | 2008-06-04 |
| 1124299680 | Nicole Jackson | Licensed Practical Nurse | 1830 Southern Pkwy, Springfield, OH 45506-3115 | 2008-03-12 |
| 1578740023 | Nicole Jackson | Counselor | 3630 George Washington Hwy, Ste B-6, Yorktown, VA 23693 | 2008-01-28 |
| 1205999588 | Nicole Lewis Jackson | Dentist | 3298 Northside Dr, Macon, GA 31210 | 2006-12-18 |
| 1104447275 | Nicole Feliz Jackson | Specialist/Technologist | 1301 S Us Highway 377, Argyle, TX 76226-7744 | 2020-04-30 |
| 1023637220 | Nicole Jackson | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-04-09 |
| Street Address |
39293 PLYMOUTH RD STE 109A |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962590901 | Cheryl Jones | Social Worker | 39293 Plymouth Rd, Suite 110, Livonia, MI 48150-1060 | 2006-10-11 |
| 1275085706 | Behavioral Health Consultants, LLC | Community/Behavioral Health | 39293 Plymouth Rd, Suite 109a, Livonia, MI 48150-1060 | 2016-11-01 |
| 1538466479 | Perfect Home Health Care Services, LLC. | Home Health | 39293 Plymouth Rd, Suite 105, Livonia, MI 48150-1060 | 2011-02-11 |
| 1902112865 | Comprehensive Home Health Care Inc. | Day Training, Developmentally Disabled Services | 39293 Plymouth Rd, Suite 104, Livonia, MI 48150-1060 | 2010-08-29 |
| 1366779126 | James P Bales | Social Worker | 39293 Plymouth Rd, Livonia, MI 48150-1060 | 2009-11-14 |
| 1659416428 | David William Breeden | Social Worker | 39293 Plymouth Rd, 110, Livonia, MI 48150-1060 | 2007-02-20 |
| 1306903539 | Alexandra Mccourt | Social Worker | 39293 Plymouth Rd, Livonia, MI 48150-1060 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| 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 |
|---|---|---|---|---|
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1760966659 | Rl Hurwitz PC | Social Worker | 17940 Farmington Rd Ste 222, Livonia, MI 48152-3185 | 2018-09-18 |
| 1063926459 | Cheryl Ann Betz | Social Worker | 14149 Farmington Rd, Livonia, MI 48154-5422 | 2017-11-22 |
| 1407365562 | Barbara Anne Brick | Social Worker | 14435 Newburgh Rd, Livonia, MI 48154-5013 | 2017-09-21 |
| 1679014872 | Roeslaid Renee Mclaurine | Social Worker | 33200 Schoolcraft Rd Ste 106, Livonia, MI 48150-1643 | 2017-03-20 |
| 1578911707 | Monika Domke | Social Worker | 15223 Farmington Rd Ste 8, Livonia, MI 48154 | 2016-05-27 |
| 1821479643 | Timothy Foley | Social Worker | 33186 Myrna Ct, Livonia, MI 48154-2916 | 2015-06-17 |
| 1699166710 | Ian Stuart Lloyd | Social Worker | 37799 Prof Center #106, Livonia, MI 48154-1123 | 2015-02-11 |
| 1548668080 | Janice Gonzalez | Social Worker | 34750 Northland Dr., Livonia, MI 48152 | 2014-12-16 |
| 1891199592 | Sara Collins | Social Worker | 35470 Oakdale St, Livonia, MI 48154-2236 | 2014-10-09 |
| Find all providers in LIVONIA | ||||
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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.