CHANDRA JACKSON (NPI# 1982243853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982243853 |
| Entity Type | Individual |
| Full Name | CHANDRA JACKSON |
| Practice Address |
367 Pine St Springfield MA 01105-1930 |
| Mailing Address |
14 James St Springfield MA 01105-1416 |
| Practice Telephone | 4133729904 |
| Mailing Telephone | 4134203667 |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2019-12-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689151664 | Chandra Jackson | Counselor | 1224 Stokley Pl, Baton Rouge, LA 70815-7030 | 2018-07-23 |
| 1164934998 | Chandra Alisa Jackson | Case Manager/Care Coordinator | 1058 E Worthy St Ste B-2, Gonzales, LA 70737-4302 | 2017-11-02 |
| 1093080756 | Chandra Jackson | Licensed Practical Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2012-03-14 |
| Street Address |
367 PINE ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164436093 | Child and Family Service of Pioneer Valley | Clinic/Center | 367 Pine St, Springfield, MA 01105-1930 | 2006-07-28 |
| 1851990196 | Jacqueline Marie Bonet | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2020-10-19 |
| 1386242584 | Tammy Rynn | Registered Nurse | 367 Pine St, Springfield, MA 01105-1930 | 2020-10-12 |
| 1538780093 | Raul Ayala | Case Manager/Care Coordinator | 367 Pine St, Springfield, MA 01105-1930 | 2020-05-06 |
| 1437798394 | Tatiana Flores | Case Manager/Care Coordinator | 367 Pine St, Springfield, MA 01105-1930 | 2019-12-24 |
| 1942847439 | Migdalia Torres | Community Health Worker | 367 Pine St, Springfield, MA 01105-1930 | 2019-12-04 |
| 1225683014 | Susan Messier | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2019-08-07 |
| 1588224521 | Kerriann Diana Van Allen | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2019-06-20 |
| 1508426644 | Shaynice Leticka Robinson | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2019-06-20 |
| 1003382342 | Kaine Compton | Student in an Organized Health Care Education/Training Program | 367 Pine St, Springfield, MA 01105-1930 | 2018-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| Find all providers in zip 01105 | ||||
| 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 |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
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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.