Jacqueline E Jackson, BSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3621 Rossgate CT
Hamilton, OH 45013-9558

Phone

(513) 738-7600

NPI assigned

Aug 22, 2017

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1861918724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 ROSSGATE CT",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450139558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 ROSSGATE CT",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450139558",
            "telephone_number": "513-738-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JACQUELINE",
        "middle_name": "E",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anecia D Jackson
• Antonia Jackson
• Cynthia Lee Jackson, LPN
• Dominiqe Alexis Jackson
• Hannah Jackson, OTR/L
• Joshua Jackson
• Mariah S Jackson
• Rachelle Jackson
• Tiffany Renee Jackson, CDCA,CCHW
• Deanne Renee Jacobs, MD

• Clinical Social Worker in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.