MRS. CAREY LUCILE JACKSON (NPI# 1992848535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992848535 |
| Entity Type | Individual |
| Full Name | MRS. CAREY LUCILE JACKSON |
| Credential | MA |
| Practice Address |
290 N 10th St Ste 102 Colton CA 92324-3052 |
| Practice Telephone | 9098256188 |
| Practice Fax Number | 9098720652 |
| Mailing Telephone | 9098256188 |
| Mailing Fax Number | 9098720652 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659767374 | Carey Jackson | Nurse Practitioner | 4660 Bluebonnet Blvd, Baton Rouge, LA 70809-9632 | 2015-04-09 |
| 1093916553 | Carey Lynn Jackson | Counselor | 8876 Gulf Fwy, Ste 415, Houston, TX 77017-6513 | 2007-05-30 |
| 1083764310 | Carey Bernard Jackson | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 | 2007-01-11 |
| Street Address |
290 N 10TH ST STE 102 |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457493207 | A. Avila | Counselor | 290 N 10th St Ste 102, Colton, CA 92324-3052 | 2007-02-12 |
| 1346378817 | Minerva Sajjadi | Social Worker | 290 N 10th St Ste 102, Colton, CA 92324-3052 | 2007-02-28 |
| 1407991268 | San Bernardino County Dept. of Behavioral Health | Social Worker | 290 N 10th St Ste 102, Colton, CA 92324-3052 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548584170 | Danene Rebecca Beckum | Social Worker | 400 N Pepper Ave, Colton, CA 92324-1801 | 2010-03-25 |
| 1710158431 | Theresa Rios | Social Worker | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-03-20 |
| 1841400157 | Sara E Sheeran | Social Worker | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2007-05-23 |
| 1649315904 | Lacee Lanai Lanier | Social Worker | 290 N 10th St, Colton, CA 92324-3052 | 2007-02-21 |
| 1659413607 | Angel Luis Chong | Social Worker | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071460 | Kimberly Ann Tahernia | Social Worker | 155 Wanish Pl, Palm Desert, CA 92260-7319 | 2020-10-22 |
| 1831798594 | Open Minds Sb LLC | Social Worker | 312 Lighthouse Rd, Santa Barbara, CA 93109-1908 | 2020-10-22 |
| 1619576790 | Larry George Hazaert | Social Worker | 9828 Central Avenue, Montclair, CA 91763-2817 | 2020-10-20 |
| 1396343703 | Catya Jeannette Molina | Social Worker | 2000 Hazeltine Dr, Oxnard, CA 93036-6308 | 2020-10-16 |
| 1467050831 | Michael J Samuelson | Social Worker | 23501 Cinema Dr Ste 200&210, Valencia, CA 91355-5428 | 2020-10-16 |
| 1245837004 | Tanya Renee Banks | Social Worker | 2280 Benton Dr # C, Redding, CA 96003-5349 | 2020-10-05 |
| 1669089868 | Kimberly J Hansen Anderson | Social Worker | 12071 Tivoli Park Row Unit 2, San Diego, CA 92128-4385 | 2020-09-30 |
| 1558978338 | Emily J White | Social Worker | 1225 Vienna Dr Spc 292, Sunnyvale, CA 94089-1833 | 2020-09-25 |
| 1255947958 | Diep Le | Social Worker | 991 39th St Apt B, Oakland, CA 94608-3899 | 2020-09-17 |
| 1790399061 | Miyu Rosie Tanabe | Social Worker | 2730 Torrey Pine Dr, Fullerton, CA 92835-2848 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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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.