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TITANIA JACKSON
NPI 1083079511
Social Worker - Clinical in Conroe, TX

Active since December 29, 2015
610 N LOOP 336 E, CONROE, TX 77301(281) 742-1142 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2024, Dec 29, 2015 (2 updates tracked since 2015).

About Titania Jackson NPPES

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

TITANIA JACKSON (NPI 1083079511) is an individual clinical provider in Conroe, Texas, licensed in Texas (68581) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1083079511
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTITANIA JACKSON
Location Address610 N LOOP 336 EConroe, TX 77301-1437
Mailing Address115 Bacle DrCampti, LOUISIANA 71411 · (318) 609-2776
Phone(281) 742-1142
Sole ProprietorYes
Enumeration DateDecember 29, 2015
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1083079511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 68581
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
610 N LOOP 336 E, Conroe, TX 77301
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Other Providers at the Same Location NPPES 5

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

DEVOTION PALLIATIVE CARE, LLC
Nurse Practitioner (Gerontology)
610 N LOOP 336 E, 2ND FLOOR
CONROE, TX 77301
Montgomery County (281) 742-1142
REBECCA LYNNE BOTKIN APN
Nurse Practitioner (Family)
610 N LOOP 336 E
CONROE, TX 77301
Montgomery County (281) 816-7333
MRS. LISA GUILFORD FOYTIK MSN, GNP-C
Nurse Practitioner (Gerontology)
610 N LOOP 336 E
CONROE, TX 77301
Montgomery County (281) 816-7333
BECKY VILLARREAL
Social Worker (Clinical)
610 N LOOP 336 E
CONROE, TX 77301
Montgomery County (281) 742-1142
BRITE HOSPICE, LLC
Hospice Care, Community Based
610 N LOOP 336 E, 2ND FLOOR
CONROE, TX 77301
Montgomery County (281) 742-1142

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 Titania Jackson's NPI number?

The NPI number for Titania Jackson is 1083079511. It was assigned to this individual provider in the NPPES registry on December 29, 2015.

Where is Titania Jackson located?

Titania Jackson practices at 610 N Loop 336 E, Conroe, TX 77301. The listed phone number is (281) 742-1142.

What is Titania Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Titania Jackson was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.