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KATANA JACKSON
NPI 1730489527
Social Worker - Clinical in Ellsworth Afb, SD

Active since October 26, 2010
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706(605) 385-3656 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2023, Oct 3, 2019 (2 updates tracked since 2019).

About Katana Jackson NPPES

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

KATANA JACKSON (NPI 1730489527) is an individual clinical provider in Ellsworth Afb, South Dakota, licensed in South Dakota (3232) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1730489527
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATANA JACKSON
Location Address2900 DOOLITTLE DREllsworth Afb, SD 57706-4821
Mailing Address2900 Doolittle DrEllsworth Afb, SD 57706-4821 · (605) 385-3656
Phone(605) 385-3656
Sole ProprietorNo
Enumeration DateOctober 26, 2010
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1730489527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in SD · 3232
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2900 DOOLITTLE DR, Ellsworth Afb, SD 57706
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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.

MS. CHRISTLE CELESTE USERA MSW/CSW-PIP
Social Worker (Clinical)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3656
28TH MEDGRP-ELLSWORTH
Clinic/Center (Military/U.S. Coast Guard Outpatient)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3311
DR. ERIC WALTER JORCZAK PHARM.D.
Pharmacist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3250
ANTHONY ZUNKER
Military Health Care Provider (Independent Duty Medical Technicians)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3002
MAXWELL TUO CHENG D.O.
General Practice
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-6700
DR. MICHAEL SCOTT BOGAARD O.D.
Optometrist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3281
DIANE RAMIREZ IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 835-3332
DR. LAUREN KAY MATTHEWS OD
Optometrist
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Meade County (605) 385-3283

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 Katana Jackson's NPI number?

The NPI number for Katana Jackson is 1730489527. It was assigned to this individual provider in the NPPES registry on October 26, 2010.

Where is Katana Jackson located?

Katana Jackson practices at 2900 Doolittle Dr, Ellsworth Afb, SD 57706. The listed phone number is (605) 385-3656.

What is Katana Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Katana Jackson was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.