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ANDRE JACKSON
NPI 1386434009
Case Manager/Care Coordinator in Washington, DC

Active since May 07, 2025
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020(202) 563-7632 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, May 7, 2025 (2 updates tracked since 2025).

About Andre Jackson NPPES

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

ANDRE JACKSON (NPI 1386434009) is an individual case manager/care coordinator provider in Washington, District Of Columbia and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1386434009
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameANDRE JACKSON
Location Address2124 MARTIN LUTHER KING JR AVE SEWashington, DC 20020-5732
Mailing Address2124 Martin Luther King Jr Ave SeWashington, DC 20020-5732 · (202) 563-7632
Phone(202) 563-7632
Sole ProprietorYes
Enumeration DateMay 7, 2025
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1386434009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
2124 MARTIN LUTHER KING JR AVE SE, Washington, DC 20020
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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.

MR. BEKATO TENENG MULUH
Community Health Worker
2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 563-7632
ALAIN N TAJOCHA
Case Manager/Care Coordinator
2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 563-7632
NKENGMENCHE GOLDEN NJUKANG
Case Manager/Care Coordinator
2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 563-7632
D'ANGELO MARTINO
Behavior Technician
2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 563-7632
MR. TAVON DELANTE TAYLOR LGSW
Social Worker
2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 563-7632
ADANNA IHUOMA
Registered Nurse
2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 763-5632
TAMBANA ATCHAM
Case Manager/Care Coordinator
2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 563-7632
EDWARD BRIMA FOFANAH
Case Manager/Care Coordinator
2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 563-7632

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 Andre Jackson's NPI number?

The NPI number for Andre Jackson is 1386434009. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Andre Jackson located?

Andre Jackson practices at 2124 Martin Luther King Jr Ave SE, Washington, DC 20020. The listed phone number is (202) 563-7632.

What is Andre 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 Andre Jackson was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.