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FREDERICK J JACKSON JR. MS.
NPI 1609222058
Case Manager/Care Coordinator in Shreveport, LA

Active since May 04, 2016
9045 KINGSTON RD APT 101, SHREVEPORT, LA 71118(940) 399-4095 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick J Jackson Jr. Ms. NPPES

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

FREDERICK J JACKSON JR. MS. (NPI 1609222058) is an individual case manager/care coordinator provider in Shreveport, Louisiana and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1609222058
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameFREDERICK J JACKSON JR.Credential: MS.
Location Address9045 KINGSTON RD APT 101Shreveport, LA 71118-3400
Mailing Address9045 Kingston Rd Apt 101Shreveport, LA 71118-3400 · (318) 762-7425
Phone(940) 399-4095
Sole ProprietorYes
Enumeration DateMay 4, 2016
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1609222058 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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
9045 KINGSTON RD APT 101, Shreveport, LA 71118
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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 Frederick Jackson's NPI number?

The NPI number for Frederick Jackson is 1609222058. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Frederick Jackson located?

Frederick Jackson practices at 9045 Kingston Rd Apt 101, Shreveport, LA 71118. The listed phone number is (940) 399-4095.

What is Frederick 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 Frederick Jackson was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.