JENNIFER CLAIRE TACKITT (NPI# 1881208437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881208437 |
| Entity Type | Individual |
| Full Name | JENNIFER CLAIRE TACKITT |
| Credential | LCSW |
| Practice Address |
561 Indianapolis Rd Mooresville IN 46158-1271 |
| Practice Telephone | 3173837097 |
| Mailing Telephone | 3173837097 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34007261A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730667833 | Jennifer Marie Tackitt | Nurse Practitioner | 1821 Leclerc Rd N Ste 1, Cusick, WA 99119-5015 | 2018-07-31 |
| Street Address |
561 INDIANAPOLIS RD |
| City | MOORESVILLE |
| State | IN |
| Zip Code | 46158-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352613 | Victoria Shay Parsons | Pharmacist | 523 Sr-67 N, Mooresville, IN 46158 | 2020-09-30 |
| 1083150049 | Terri Joann Hughes | Hearing Instrument Specialist | Mobile / Home Care, Mooresville, IN 46158 | 2017-01-16 |
| 1578938650 | Harrison County Hospital | Skilled Nursing Facility | 302 North Johnson Road, Mooresville, IN 46158 | 2015-12-01 |
| 1598100323 | William Oh | Colon & Rectal Surgery | 1215 Hadley Rd Ste 201, Mooresville, IN 46158 | 2013-05-07 |
| 1134405855 | Antonios Spiros Kantzavelos | Pharmacist | 115 Fields Road, Mooresville, IN 46158 | 2011-10-26 |
| 1588940308 | Sarah E Grindle | Pharmacist | 115 Fields Rd., Mooresville, IN 46158 | 2011-10-25 |
| 1487884805 | Abundant Life Chiropractic | Chiropractor | 902 N Old State Rd 67, Mooresville, IN 46158 | 2009-07-20 |
| 1770614760 | W F Kirby | Optometrist | 11625 N Oldfield Ln, Mooresville, IN 46158 | 2007-03-08 |
| 1730269192 | Travis L Bauer | Dentist | 420 S Indiana St, Mooresville, IN 46158 | 2006-10-17 |
| 1457396707 | Sidney L Gilbert | Pediatrics | 100 Town Center Drive, Suite B, Mooresville, IN 46158 | 2006-06-19 |
| Find all providers in zip 46158 | ||||
| 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 |
|---|---|---|---|---|
| 1881201630 | Flourish Counseling and Consulting | Social Worker | 122 Backstretch Ln, Mooresville, NC 28117-8071 | 2020-09-25 |
| 1235741265 | Raheem Forsythe | Social Worker | 276 E Catawba Ave, Mooresville, NC 28115-2657 | 2020-08-20 |
| 1295347698 | Brittni Throgmorton | Social Worker | 378 Williamson Rd Ste 207, Mooresville, NC 28117-5917 | 2020-08-18 |
| 1386267581 | Linda Ann Costa-daniello | Social Worker | 120 Riding Trail, Mooresville, NC 28117-9165 | 2020-05-21 |
| 1629698782 | Lynn B Puma | Social Worker | 158 Clover Bank Rd, Mooresville, NC 28115-7872 | 2020-04-19 |
| 1316509102 | Shirley Marie Curry | Social Worker | 174 Devon Forest Dr, Mooresville, NC 28115-7913 | 2019-07-02 |
| 1992281141 | Kristin M Mobley | Social Worker | 131 Nevis Ln, Mooresville, NC 28115-2811 | 2018-07-11 |
| 1245756295 | Lkn Counseling and Sex Therapy, Pllc. | Social Worker | 110 Charleston Dr Unit 109108, Mooresville, NC 28117-7700 | 2017-08-21 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1932568631 | Renee Wolf | Social Worker | 200 Elrosa Rd, Mooresville, NC 28115-5812 | 2016-02-23 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 46158 |
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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.