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MARCELIA JACKSON
NPI 1588224760
Case Manager/Care Coordinator in Shreveport, LA

Active since June 19, 2019
4718 HEARNE AVE, SHREVEPORT, LA 71108(318) 828-1521 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2025, Jun 19, 2019 (2 updates tracked since 2019).

About Marcelia Jackson NPPES

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

MARCELIA JACKSON (NPI 1588224760) is an individual case manager/care coordinator provider in Shreveport, Louisiana and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1588224760
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMARCELIA JACKSON
Location Address4718 HEARNE AVEShreveport, LA 71108-2703
Mailing Address4718 Hearne AveShreveport, LA 71108-2703 · (318) 828-1521
Phone(318) 828-1521
Sole ProprietorNo
Enumeration DateJune 19, 2019
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1588224760 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.
4718 HEARNE AVE, Shreveport, LA 71108
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Other Identifiers 1

Medicaid1417347048LA

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.

MS. MALICIA LEVETTE WARREN
Case Manager/Care Coordinator
4718 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 828-1521
MICHALEN DILLARD
Counselor (Mental Health)
4718 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 828-1521
SHAMEAKA MARSHALL
Case Manager/Care Coordinator
4718 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 828-1521
RENALDA STAFFORD
Case Manager/Care Coordinator
4718 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 828-1521
A TOUCH OF MERCY, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4718 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 828-1521
SHANIEKA HADNOTT
Counselor (Mental Health)
4718 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 828-1521
KETRA FULLER
Case Manager/Care Coordinator
4718 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 828-1521
FANNIE BELL
Case Manager/Care Coordinator
4718 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 828-1521

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 Marcelia Jackson's NPI number?

The NPI number for Marcelia Jackson is 1588224760. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Marcelia Jackson located?

Marcelia Jackson practices at 4718 Hearne Ave, Shreveport, LA 71108. The listed phone number is (318) 828-1521.

What is Marcelia 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 Marcelia Jackson was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.