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CHANTILLE UNIQUE JACKSON MSW, LSW
NPI 1578824447
Community/Behavioral Health in Berea, OH

Active since June 06, 2012
202 E BAGLEY RD, BEREA, OH 44017(440) 260-8300 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chantille Unique Jackson Msw, Lsw NPPES

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

CHANTILLE UNIQUE JACKSON MSW, LSW (NPI 1578824447) is an individual community/behavioral health provider in Berea, Ohio, licensed in Ohio (S.1101606) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1578824447
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameCHANTILLE UNIQUE JACKSONCredential: MSW, LSW
Location Address202 E BAGLEY RDBerea, OH 44017-2058
Mailing Address202 E Bagley RdBerea, OH 44017-2058 · (440) 260-8300
Phone(440) 260-8300
Sole ProprietorYes
Enumeration DateJune 6, 2012
✔ NPI 1578824447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in OH · S.1101606
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
202 E BAGLEY RD, Berea, OH 44017
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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.

ASIYA JAWAD
Community Health Worker
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-6835
NICOLE ZAROBILA
Counselor
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (800) 234-2006
ERINI POULOS RN
Registered Nurse
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-8300
JOHN MAXWELL MCCARTY
Counselor (Addiction (Substance Use Disorder))
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (216) 502-7982
HORACE JOEL WHITWORTH QMHS MA CMS MA
Community Health Worker
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-8300
MRS. THERESA MARIA SMITH LISW
Social Worker (Clinical)
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-8303
SHARMILA SAMAROO RN
Registered Nurse
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (444) 260-8327
ALLISON APEL
Counselor (Professional)
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (800) 234-2006

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 Chantille Jackson's NPI number?

The NPI number for Chantille Jackson is 1578824447. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Chantille Jackson located?

Chantille Jackson practices at 202 E Bagley Rd, Berea, OH 44017. The listed phone number is (440) 260-8300.

What is Chantille Jackson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Chantille Jackson was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.