TINA JACKSON LCSW
NPI 1376968172
Social Worker in Holloman Afb, NM

Q: What is Tina Jackson's NPI number?

The NPI number for Tina Jackson is 1376968172. It was assigned to this individual provider in the NPPES registry on March 3, 2014.

Q: What is Tina Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Jackson was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 03, 2014

280 1ST ST BLDG 23, HOLLOMAN AFB, NM 88330(575) 572-5676(575) 572-1523 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tina Jackson Lcsw NPPES

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

TINA JACKSON LCSW (NPI 1376968172) is an individual social worker in Holloman Afb, New Mexico, licensed in North Dakota (4950) and active in the NPI registry since March 2014. She maintains a secondary practice location in Sentinel Butte.

NPPES Registry Identity

NPI1376968172

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTINA JACKSONCredential: LCSW

Location Address280 1ST ST BLDG 23Holloman Afb, NM 88330-8273

Mailing Address16351 I94, Home On The RangeSentinel Butte, ND 58654-9500 · (701) 872-3745 · Fax (701) 872-3748

Phone(575) 572-5676

Fax(575) 572-1523

Sole ProprietorNo

Enumeration DateMarch 3, 2014

Last NPPES UpdateJuly 26, 2022

NPPES CertifiedJuly 26, 2022

✔ NPI 1376968172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in ND · 4950

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

280 1ST ST BLDG 23, Holloman Afb, NM 88330

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Secondary Practice Location 1

Location 116351 I94, Home On The RangeSentinel Butte, ND 58654-9500 · Phone (701) 872-3745 ext. 109 · Fax (701) 872-3748

Other Providers at the Same Location NPPES 10

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

MRS. CATHLEEN ADIVA MAURICETTE LCSW

Social Worker (Clinical)

280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330

Otero County (575) 572-5676

HEIDI FENTON MA

Social Worker (Clinical)

280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330

Otero County (575) 572-2778

LEVI JOHNSON

Physical Therapist

280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330

Otero County (575) 572-3564

ADAM HOYE-SIMEK

Pharmacist

280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330

Otero County (518) 774-8800

JOHN VINCENT CUGINI DO

Family Medicine

280 1ST ST BLDG 23
HOLLOMAN AIR FORCE BASE, NM 88330

Otero County (575) 572-1590

DR. ASHLEY DURAY M.D.

Pediatrics

280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330

Otero County (575) 572-4077

CHRISTOPHER ADAM CABRERA PHARMD

Pharmacist

280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330

Otero County (575) 572-1835

KEVIN SOON LENG YEO DO

General Practice

280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330

Otero County (575) 572-2778

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 Tina Jackson's NPI number?

The NPI number for Tina Jackson is 1376968172. It was assigned to this individual provider in the NPPES registry on March 3, 2014.

Where is Tina Jackson located?

Tina Jackson practices at 280 1st St Bldg 23, Holloman Afb, NM 88330. The listed phone number is (575) 572-5676.

What is Tina Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Tina Jackson was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.