Tameca N. Harris-Jackson, PHD, LCSW, CSE

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15080 Issued in FL

Practice address

1400 S Orlando Ave Ste 320
Winter Park, FL 32789-5543

Phone

(407) 308-0345

Fax

(689) 204-1475

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Tameca Nicole Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Hope & Serenity Health Services

  • Clinical Social Worker
  • Winter Park, FL
  • NPI 1245726827
  NPD Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1437373594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S ORLANDO AVE STE 320",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895543",
            "telephone_number": "407-308-0345",
            "fax_number": "689-204-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ORLANDO AVE STE 320",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895543",
            "telephone_number": "407-308-0345",
            "fax_number": "689-204-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-JACKSON",
        "first_name": "TAMECA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW, CSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMECA",
            "last_name": "JACKSON",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "PHD, LCSW, CSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harmony Wellness Center
• Meghan Nicole Harper
• Michael A. Harrell, PH.D.
• Andreena Harriman
• Tinamarie Burks Harrington
• Cheryl Harris, LD, CNS
• Edwina Harris
• Tamra Harris, LCSW
• Joseph Harrison
• Candice Elizabeth Hart

• Clinical Social Worker in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.