Carey Lucile Jackson, MA

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

290 N 10TH St Ste 102
Colton, CA 92324-3052

Phone

(909) 825-6188

Fax

(909) 872-0652

NPI assigned

Feb 14, 2007

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

Credentials

Master of Arts

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992848535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N 10TH ST STE 102",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243052",
            "telephone_number": "909-825-6188",
            "fax_number": "909-872-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N 10TH ST STE 102",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243052",
            "telephone_number": "909-825-6188",
            "fax_number": "909-872-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CAREY",
        "middle_name": "LUCILE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Israel
• Priscila Ixquiack
• Alex Jabourian, D.O.
• Nina Jabourian
• Breyana Jackson
• Jennifer Jackson, MD
• Geonna Jacobs
• Marilyn Frances Jacobs
• Jesse J. Jacquez, P.A.-C.
• Maryellie Jacquez

• Social Worker in Colton, CA
• Providers in Colton, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.