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EARLENE SHAVON JACKSON
NPI 1851167589
Case Manager/Care Coordinator in Upper Marlboro, MD

Active since December 04, 2023
7311 LOANDA DR, UPPER MARLBORO, MD 20772(301) 442-5779 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Earlene Shavon Jackson NPPES

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

EARLENE SHAVON JACKSON (NPI 1851167589) is an individual case manager/care coordinator provider in Upper Marlboro, Maryland and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1851167589
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameEARLENE SHAVON JACKSON
Location Address7311 LOANDA DRUpper Marlboro, MD 20772-4274
Mailing Address7311 Loanda DrUpper Marlboro, MD 20772-4274 · (301) 442-5779
Phone(301) 442-5779
Sole ProprietorYes
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1851167589 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.
7311 LOANDA DR, Upper Marlboro, MD 20772
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EBONY JACKSON
Case Manager/Care Coordinator
7311 LOANDA DR
UPPER MARLBORO, MD 20772
Prince George's County (202) 985-9995
CASTYURCARES LLC
Home Health Aide
7311 LOANDA DR
UPPER MARLBORO, MD 20772
Prince George's County (301) 442-5779
CASTYURCARES LLC
Home Health
7311 LOANDA DR
UPPER MARLBORO, MD 20772
Prince George's County (301) 442-5779

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 Earlene Jackson's NPI number?

The NPI number for Earlene Jackson is 1851167589. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Earlene Jackson located?

Earlene Jackson practices at 7311 Loanda Dr, Upper Marlboro, MD 20772. The listed phone number is (301) 442-5779.

What is Earlene 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 Earlene Jackson was last updated on December 4, 2023. 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.