ANITA DENISE JACKSON (NPI# 1851785620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851785620 |
| Entity Type | Individual |
| Full Name | ANITA DENISE JACKSON |
| Credential | MA, LBSW |
| Practice Address |
9315 Telegraph Rd Redford MI 48239-1260 |
| Practice Telephone | 3134504500 |
| Practice Fax Number | 3134504512 |
| Mailing Telephone | 3134504500 |
| Mailing Fax Number | 3134504512 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6802074632 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861059487 | Anita Rikki Jackson | Behavioral Analyst | 14420 W Side Blvd Apt 310, Laurel, MD 20707-6271 | 2019-05-20 |
| 1134699481 | Anita Dionne Jackson | In Home Supportive Care | 29 Baltimore Ln, Palm Coast, FL 32137-8851 | 2018-11-29 |
| 1699273789 | Anita Ann Jackson | Registered Nurse | 2853 Webb Ave Bronx Ny 10468, Bronx, NY 10468-2154 | 2018-01-24 |
| 1497285209 | Anita Johnson Jackson | Case Manager/Care Coordinator | 3204 N Ridge Rd, Tallahassee, FL 32305 | 2017-06-14 |
| 1548594831 | Anita K. Jackson | Chiropractor | 2505 Troy Pike, Versailles, KY 40383-9646 | 2009-09-21 |
| 1346286010 | Anita Louise Jackson | Otolaryngology | 4315 Ludgate St, Lumberton, NC 28358-2460 | 2006-06-21 |
| 1992125199 | Anita June Jackson | Registered Nurse | 680 S 4th St, Louisville, KY 40202-2407 | 2014-04-26 |
| 1366637993 | Anita Irene Jackson | Social Worker | 2311 Loveridge Rd, Pittsburg, CA 94565-5117 | 2007-09-06 |
| 1679620652 | Anita P Jackson | Counselor | 573 Brookover Ave, Zanesville, OH 43701-2101 | 2007-01-04 |
| 1063519486 | Anita Cal Jackson | Family Medicine | 44274 George Cushman Ct Ste 212, Temecula, CA 92592-5945 | 2006-09-20 |
| Street Address |
9315 TELEGRAPH RD |
| City | REDFORD |
| State | MI |
| Zip Code | 48239-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669451944 | Lincoln Behavioral Services | General Practice | 9315 Telegraph Rd, Redford, MI 48239 | 2006-01-13 |
| 1356941454 | Angelica Debono | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-10-28 |
| 1477182574 | Christie Johnson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-04-02 |
| 1043846116 | Breanne Johnson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-03-20 |
| 1407488729 | Zeinab M Dabajeh | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-02-05 |
| 1356987762 | Lincoln Behavioral Services | Family Medicine | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-11-20 |
| 1952945826 | Daniel Evan Diskin | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-11-04 |
| 1124669775 | Sara Kifah Jayyousi | Peer Specialist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-10-04 |
| 1275174062 | Kelsey Vest | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-10-02 |
| 1508415753 | Jennifer Pettway | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849856 | Court'nee Ann Desmond | Nurse Practitioner | 14761 Telegraph Rd, Redford, MI 48239 | 2019-12-26 |
| 1891250239 | Sun Valley Pharmacy LLC | Pharmacy | 9291 Telegraph Rd, Redford, MI 48239 | 2019-02-08 |
| 1003343369 | Lucinda Pryor | Nurse Practitioner | 14210 Marion, Redford, MI 48239 | 2017-05-17 |
| 1740725274 | Georgetta W Bond | Technician, Other | 12770 Hemingway, Redford, MI 48239 | 2016-12-19 |
| 1508318015 | Doris Mckinney | Counselor | Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 | 2016-10-31 |
| 1609282110 | Rosaundra Tanika Pope | Home Health | 9989 Royal Grand, Redford, MI 48239 | 2014-07-03 |
| 1497170179 | Courtney Ritchie | General Practice | 24435 Plymouth Rd, Redford, MI 48239 | 2014-03-04 |
| 1003168592 | Alicia Monique Lurry | Counselor | 8171 Parkland, Detroit, MI 48239 | 2012-10-08 |
| 1407116080 | Ariss Tiffani Pierce | Physical Therapist | 14615 Telegraph Rd Ste 1, Redford, MI 48239 | 2012-05-17 |
| 1205144409 | Steven Thomas Haynes | Counselor | 7411 Parkland, Redford, MI 48239 | 2010-09-22 |
| Find all providers in zip 48239 | ||||
| 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 |
|---|---|---|---|---|
| 1093314627 | Morning Tea Therapy | Social Worker | 17190 Norborne, Redford, MI 48240-2231 | 2020-10-24 |
| 1730795196 | Alisha Coleman | Social Worker | 24801 5 Mile Rd Ste 9, Redford, MI 48239-3653 | 2020-09-21 |
| 1356951263 | Living In Abundance | Social Worker | 24801 5 Mile Rd Ste 21, Redford, MI 48239-3654 | 2020-08-05 |
| 1306402763 | Kathryn Stokes | Social Worker | 26770 Joy Rd Apt F07, Redford, MI 48239-1957 | 2019-05-11 |
| 1093378333 | Rc Therapeutic Solutions | Social Worker | 24755 5 Mile Rd Ste 207, Redford, MI 48239-3664 | 2019-04-22 |
| 1619439064 | A New Day Counseling LLC | Social Worker | 24755 5 Mile Rd Ste 208, Redford, MI 48239-3664 | 2019-04-04 |
| 1619482189 | Samantha Ann Hoskin | Social Worker | 9195 Kinloch, Redford, MI 48239-1828 | 2017-12-06 |
| 1871844043 | Nadia Sultani | Social Worker | 13938 Inkster Rd, Ste 400, Redford, MI 48239-3038 | 2012-09-27 |
| 1881962413 | Joanna Kyrie Gordon | Social Worker | 14347 Shamrock Dr, Redford, MI 48239-2993 | 2011-12-10 |
| 1982980512 | Amy Katherine Delira | Social Worker | 9229 Riverview, Redford, MI 48239-1247 | 2011-10-27 |
| Find all providers in REDFORD | ||||
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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.