TAMARA JACKSON (NPI# 1932557832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932557832 |
| Entity Type | Individual |
| Full Name | TAMARA JACKSON |
| Credential | LCSW |
| Practice Address |
16 Coventry St Hartford CT 06112-1524 |
| Practice Telephone | 8607143704 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
009426 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104314343 | Tamara Jackson | Psychologist | 1725 I Street Nw, Suite 300, Washington, DC 20006 | 2018-04-24 |
| 1861824807 | Tamara Desiree Jackson | Case Manager/Care Coordinator | 678 Sagamore St Apt 7h, Bronx, NY 10462-2874 | 2013-08-01 |
| 1043542236 | Tamara Jean Jackson | Community Health Worker | 350 Henry Ave, Wewahitchka, FL 32465-8766 | 2010-02-12 |
| 1184771073 | Tamara Jackson | Radiology | 469 W Huron St, Apt 810, Chicago, IL 60654-3467 | 2007-01-04 |
| 1366503716 | Tamara Joyce Jackson | Pediatrics | 1328 W St Se, Anacostia Clinic, Washington, DC 20020-5718 | 2006-12-12 |
| 1164061073 | Tamara T Jackson | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-12-26 |
| 1659898351 | Tamara Renee Jackson | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2017-08-24 |
| 1124471123 | Tamara Jackson | Social Worker | 3604 Canal St, New Orleans, LA 70119-6111 | 2016-07-14 |
| 1851764526 | Tamara Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-11-03 |
| 1366882714 | Tamara M Jackson | Speech-Language Pathologist | 53 Ash Dr, Hollywood, FL 33026-1102 | 2013-06-30 |
| Street Address |
16 COVENTRY ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477601367 | Alcohol & Drug Recovery Centers, Inc | Clinic/Center | 16 Coventry St, Hartford, CT 06112-1524 | 2007-01-08 |
| 1417416041 | Sonya Harris | Nurse Practitioner | 16 Coventry St, Hartford, CT 06112-1524 | 2019-03-13 |
| 1033517636 | Janet F Conaci | Social Worker | 16 Coventry St, Hartford, CT 06112-1524 | 2014-12-12 |
| 1821496506 | Sarah Messier-smith | Social Worker | 16 Coventry St, Hartford, CT 06112-1524 | 2014-12-12 |
| 1023444239 | Christina Savage | Social Worker | 16 Coventry St, Hartford, CT 06112-1524 | 2013-09-19 |
| 1740528678 | Nneka O Mathew | Nurse Practitioner | 16 Coventry St, Hartford, CT 06112-1524 | 2013-01-28 |
| 1467712653 | Maria Iwona Herasimowicz | Counselor | 16 Coventry St, Hartford, CT 06112-1524 | 2012-05-21 |
| 1790054013 | Zaida Dougherty | Counselor | 16 Coventry St, Hartford, CT 06112-1524 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| 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 |
|---|---|---|---|---|
| 1295367431 | Rise Clinical Services, LLC | Social Worker | 151 New Park Ave Unit 2b, Hartford, CT 06106-2191 | 2020-02-05 |
| 1902441025 | Danielle Gatny | Social Worker | 57418 County Road 681 Ste C, Hartford, MI 49057-9421 | 2019-11-13 |
| 1336781806 | A Minds Journey LLC | Social Worker | 1339 Albany Ave, Hartford, CT 06112-2107 | 2019-10-16 |
| 1689147340 | Comfort Counseling and Wellness | Social Worker | 74 Mansfield St, Hartford, CT 06112-1938 | 2019-01-05 |
| 1275010324 | Oasis Bilingual Counseling Services, LLC. | Social Worker | 682 Prospect Ave # 202, Hartford, CT 06105-4238 | 2018-07-22 |
| 1689196859 | Luisa Dinino-jones | Social Worker | 90 Retreat Ave, Hartford, CT 06106-2535 | 2017-07-10 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1881141356 | Deborah Rogala | Social Worker | 110 Bartholomew Ave Suite 3010, Hartford, CT 06106 | 2016-09-01 |
| 1346796737 | Monica Alvarenga | Social Worker | 27 Carpenter St, Hartford, CT 06106-2008 | 2016-08-26 |
| 1033573860 | Katherine Gebhardt Carbine | Social Worker | 157 Charter Oak Ave, Hartford, CT 06106-1913 | 2016-04-07 |
| Find all providers in HARTFORD | ||||
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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.