Sheryl Patricia Jackson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074581-1 Issued in NY

Practice address

846 East 231St Street
Bronx, NY 10466

Phone

(347) 866-4539

NPI assigned

Jul 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.65 of 100Reported as group

Quality

71.56

Promoting interoperability

74

Improvement activities

40

Cost

87.55

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jewish Board of Family & Childrens Services Inc

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1689755662
  Medicare reassignment NPD
• Jewish Board of Family and Children's Services, Inc.

  dba The Jewish Board

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1760173579

  Clinical

  NPD
• Impactful Counseling and Consulting

  • Clinical Social Worker
  • New York, NY
  • NPI 1023633641
  NPD (past)
• Vibe Therapy, LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1285390294
  NPD (past)
• Visiting Nurse Service of New York Hospice Care

  dba VNS Health Hospice Care

  • Community Based Hospice Care Agency
  • New York, NY
  • NPI 1215928510
  NPD (past)

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1174888614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 E 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664408",
            "telephone_number": "347-866-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 EAST 231ST STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10466",
            "telephone_number": "347-866-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHERYL",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074581-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octavia Mary Jackson
• Renee Jackson
• Shauna Jackson
• Shauntay Jackson, LMFT
• Sheena Lene Jackson, MSED
• Sonji Jackson, CASAC
• Sylvio Jackson
• Tamara Desiree Jackson
• Tawana T Jackson, PT, DPT
• Tiffany Jackson, LMSW

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.