ALISSA CARA JECKLIN (NPI# 1841543188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841543188 |
| Entity Type | Individual |
| Full Name | ALISSA CARA JECKLIN |
| Credential | LCSW |
| Practice Address |
5549 Highway K Brighton MO 65617-7256 |
| Mailing Address |
5549 Hwy K Po Box 617 Brighton MO 65617-0617 |
| Practice Telephone | 4173762238 |
| Mailing Telephone | 4173762238 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2012025060 | MO | Behavioral Health & Social Service Providers |
| Street Address |
5549 HIGHWAY K |
| City | BRIGHTON |
| State | MO |
| Zip Code | 65617-7256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467750877 | Joel R Stewart | Counselor | 5549 Highway K, Brighton, MO 65617-7256 | 2011-03-09 |
| 1871147470 | Sue Ane Robinson | Counselor | 5549 Highway K, Brighton, MO 65617-7256 | 2019-07-31 |
| 1306490909 | Jenna Engler | Counselor | 5549 Highway K, Brighton, MO 65617-7256 | 2019-07-31 |
| 1306249016 | James Lowery | Counselor | 5549 Highway K, Brighton, MO 65617-7256 | 2014-10-08 |
| 1427302108 | Nicole Pingel | Counselor | 5549 Highway K, Brighton, MO 65617-7256 | 2012-11-02 |
| 1003195462 | Leslie A Sawyer | Social Worker | 5549 Highway K, Brighton, MO 65617-7256 | 2011-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528426749 | Gail Lee Sanchez | Counselor | 5586 S 154th Rd, Brighton, MO 65617 | 2016-02-02 |
| 1275966400 | Ronald Delos Bauder Jr. | Social Worker | 5549 Highway K Old Highway 13, Good Samaritan Boys Ranch, Brighton, MO 65617 | 2013-08-12 |
| 1801965512 | Matthew Joseph Moncado | Counselor | 5549 N Highway 13, Brighton, MO 65617-8112 | 2006-11-07 |
| 1609047653 | Lindsay M Wray | Social Worker | 5549 N Highway 13, Brighton, MO 65617-8112 | 2008-03-18 |
| 1679771430 | Good Samaritan Boys Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 5549 N Highway 13, Brighton, MO 65617-8112 | 2007-07-03 |
| 1023210846 | Tabitha Lee Klessens | Social Worker | 5549 N Highway 13, Brighton, MO 65617-8112 | 2007-06-04 |
| 1083823371 | Tracey Enochs | Counselor | 5549 N Highway 13, Brighton, MO 65617-8112 | 2007-05-22 |
| 1962619809 | Melissa Marie Jenkins | Counselor | 5549 N Highway 13, Brighton, MO 65617-8112 | 2007-05-17 |
| 1205043866 | Sarah Elizabeth Chadwick | Counselor | 5549 N Highway 13, Brighton, MO 65617-8112 | 2007-05-16 |
| 1154538767 | Amanda Elizabeth Griffin | Counselor | 5549 N Highway 13, Brighton, MO 65617-8112 | 2007-05-16 |
| Find all providers in zip 65617 | ||||
| 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 |
|---|---|---|---|---|
| 1669087987 | Hannah Fish | Social Worker | 1409 Commonwealth Ave Apt 404, Brighton, MA 02135-6208 | 2020-09-14 |
| 1376155051 | Ultimate Life Teletherapy Pllc | Social Worker | 6842 Corrigan Dr, Brighton, MI 48116-8852 | 2020-08-23 |
| 1033763610 | Tapestry Counseling LLC | Social Worker | 854 W Grand River Ave, Brighton, MI 48116-2303 | 2019-07-31 |
| 1316500713 | Healing Pathways Center for Psychotherapy and Mindfulness, Pllc | Social Worker | 8123 Grand River Rd Ste D, Brighton, MI 48114-9464 | 2019-04-21 |
| 1689133357 | Se Kuee Shin | Social Worker | 23 Bellvista Rd Apt 3, Brighton, MA 02135-7618 | 2019-03-13 |
| 1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
| 1366907966 | Dana Christine Schrimper | Social Worker | 89 Strathmore Rd Apt 41, Brighton, MA 02135-7166 | 2019-02-07 |
| 1922583962 | Michelle Blumberg | Social Worker | 1 Chiswick Ter, Brighton, MA 02135-4611 | 2018-09-25 |
| 1871075788 | Inez Louise Wells | Social Worker | 260 N Beacon St Apt 95, Brighton, MA 02135-1933 | 2018-09-06 |
| 1518449164 | Kimberly Roberts | Social Worker | 95 Beechcroft St, Brighton, MA 02135-2520 | 2018-08-30 |
| Find all providers in BRIGHTON | ||||
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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.