Active NPI
Sasha Jackson
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1295181295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 7200 Bancroft Ave
Suite 133
Oakland, CA 94605-2403 - Phone
- (510) 553-8503
- NPI assigned
- May 9, 2016
- Last updated
- May 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| School Social Worker | 1041S0200X |
Addresses
Primary practice location
7200 Bancroft Ave
Suite 133
Oakland, CA 94605-2403
Mailing address
480 Ridge Creek LN
Patterson, CA 95363-8776
Phone (209) 675-6442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sasha Jackson, LLC | Current | Accepting new patients | |
| San Joaquin Behavioral Health Services | Clinical | Current | Accepting new patients |
Locations
1212 N California St
Stockton, CA 95202
Phone (209) 468-8660
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stockton, CA
- NPI 1083220453
-
dba San Joaquin County Behavioral Health Services
- Community/Behavioral Health Agency
- Stockton, CA
- NPI 1215028931
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1295181295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 RIDGE CREEK LN",
"city": "PATTERSON",
"state": "CA",
"postal_code": "953638776",
"telephone_number": "209-675-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 BANCROFT AVE",
"address_2": "SUITE 133",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052403",
"telephone_number": "510-553-8503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "SASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.