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MRS. JACQUELINE JACKSON
NPI 1063700615
Case Manager/Care Coordinator in Carmichaels, PA

Active since July 18, 2011
601 W GEORGE ST, CARMICHAELS, PA 15320(724) 966-5081(724) 966-2002 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jacqueline Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELINE JACKSON (NPI 1063700615) is an individual case manager/care coordinator provider in Carmichaels, Pennsylvania and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1063700615
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMRS. JACQUELINE JACKSON
Location Address601 W GEORGE STCarmichaels, PA 15320-1325
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801 · Fax (724) 632-6312
Phone(724) 966-5081
Fax(724) 966-2002
Sole ProprietorNo
Enumeration DateJuly 18, 2011
✔ NPI 1063700615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
601 W GEORGE ST, Carmichaels, PA 15320
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Other Identifiers 2

Medicaid1007288440093PA
Other328834A764918PA · Value Behavioral Health

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHRISTI LYNN GROSS B.A.
Specialist
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MRS. DIANE L BIELISKI
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MR. STEPHEN F FETSKO
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MS. TAMI TARQUINIO B.A.
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-2924
MR. MICHAEL D. MONACO B.S.
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MR. BRADLEY S WALTERS
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MS. HEATHER J. HERTIG B.A.
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081
MISS MELISSA EWART BA PSY
Case Manager/Care Coordinator
601 W GEORGE ST
CARMICHAELS, PA 15320
Greene County (724) 966-5081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Jackson's NPI number?

The NPI number for Jacqueline Jackson is 1063700615. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Jacqueline Jackson located?

Jacqueline Jackson practices at 601 W George St, Carmichaels, PA 15320. The listed phone number is (724) 966-5081.

What is Jacqueline Jackson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Jackson was last updated on July 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.