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SAMUEL MUHAMMAD JACKSON
NPI 1396675039
Case Manager/Care Coordinator in Vermilion, OH

Active since May 22, 2026
4680 LIBERTY AVE, VERMILION, OH 44089(330) 947-6012 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Samuel Muhammad Jackson NPPES

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

SAMUEL MUHAMMAD JACKSON (NPI 1396675039) is an individual case manager/care coordinator provider in Vermilion, Ohio and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1396675039
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameSAMUEL MUHAMMAD JACKSON
Location Address4680 LIBERTY AVEVermilion, OH 44089-3243
Mailing Address4680 Liberty AveVermilion, OH 44089-3243 · (330) 947-6012
Phone(330) 947-6012
Sole ProprietorYes
Enumeration DateMay 22, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1396675039 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.
4680 LIBERTY AVE, Vermilion, OH 44089
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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.

ALIZA PATTERSON
Case Manager/Care Coordinator
4680 LIBERTY AVE
VERMILION, OH 44089
Erie County (330) 947-6012
Y NOT FAMILIES
Community/Behavioral Health
4680 LIBERTY AVE
VERMILION, OH 44089
Erie County (216) 280-2880
FATHIYYAH FARRAKHAN
Case Manager/Care Coordinator
4680 LIBERTY AVE
VERMILION, OH 44089
Erie County (330) 947-6012
KALIM HILL
Case Manager/Care Coordinator
4680 LIBERTY AVE
VERMILION, OH 44089
Erie County (330) 947-6012
SONJA THOMPSON
Case Manager/Care Coordinator
4680 LIBERTY AVE
VERMILION, OH 44089
Erie County (330) 947-6012
A'MYA MISHAK
Case Manager/Care Coordinator
4680 LIBERTY AVE
VERMILION, OH 44089
Erie County (330) 947-6012
ARIELLE NOEL
Case Manager/Care Coordinator
4680 LIBERTY AVE
VERMILION, OH 44089
Erie County (330) 947-6012
MS. VELMA DAVIS-TURNER
Case Manager/Care Coordinator
4680 LIBERTY AVE
VERMILION, OH 44089
Erie County (330) 639-7468

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 Samuel Muhammad Jackson's NPI number?

The NPI number for Samuel Muhammad Jackson is 1396675039. It was assigned to this individual provider in the NPPES registry on May 22, 2026.

Where is Samuel Muhammad Jackson located?

Samuel Muhammad Jackson practices at 4680 Liberty Ave, Vermilion, OH 44089. The listed phone number is (330) 947-6012.

What is Samuel Muhammad 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 Samuel Muhammad Jackson was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.