Hallie Jackson

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

200 Little Falls St Ste 306
Falls Church, VA 22046-4302

Phone

(703) 231-7991

NPI assigned

Sep 30, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1396563102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 MONUMENT HILL WAY APT 15206",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308321",
            "telephone_number": "865-387-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LITTLE FALLS ST STE 306",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464302",
            "telephone_number": "703-231-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "HALLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Clinic for Acupuncture and Oriental Medicine, PLLC
• Noriko Iwase, LCSW
• Jordan Elizabeth Izzard, LPC
• Jack C Phass Jr DDS Inc
• Autumn A Jackson, MHS, PA-C
• Sheba Jackson, LPC-C
• Valerie Denise Jackson, PHARMACIST
• Ann Jacob, DO
• Elizabeth Renee Jacobs, HIS
• Kathryn Jacques

• Social Worker in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.