Vizion Danette Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

30860 Issued in TX

Practice address

697 Louisiana Rd
Abilene, TX 79607-1141

Phone

(325) 696-8378

NPI assigned

Feb 22, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1043532815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796071141",
            "telephone_number": "325-696-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796071141",
            "telephone_number": "325-696-8378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Hunters Glen Rd",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769015108",
            "country_code": "US",
            "telephone_number": "325-280-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "VIZION",
        "middle_name": "DANETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "30860",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "30860",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "30860",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzie Leigh Jackson Echeverry, BCBA
• Carly Angelina Jackson, SLPA
• Mikaela Jackson
• Stephen J Jackson, MD
• Terri A. Jackson, AUDIOLOGIST
• Brandi Gray Jacob, RN, MSN, FNP-C
• George K Jacob, PHARM.D.
• Jessica Nicole Jacob, LMFT
• Jacqueline Zimmerman DO PLLC
• Lindsey L Jacques, FNP

• Clinical Social Worker in Abilene, TX
• Providers in Abilene, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.