CARL JACKMAN (NPI# 1215526959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215526959 |
| Entity Type | Individual |
| Full Name | CARL JACKMAN |
| Gender | Male |
| Credential | LMSW |
| Practice Address | 85 Broad St Fl 6 New York NY 10004-2794 |
| Practice Telephone | 6464551661 |
| Mailing Address | 85 Broad St Fl 6 New York NY 10004-2794 |
| Certification Date | 2021-01-20 |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2021-01-20 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 102665 | NY | Behavioral Health & Social Service Providers |
| Street Address | 85 BROAD ST FL 6 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10004-2794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920405 | Doris Virginia Acuna | Occupational Therapy Assistant | One Whitehall St., 9th Floor, New York, NY 10004 | 2018-11-07 |
| 1942799770 | Kylie M Becker | Speech-Language Pathologist | 7 Beaver St, New York, NY 10004 | 2018-05-07 |
| 1215458708 | Louisa Long-Hei Chan | Registered Nurse · Psychiatric/Mental Health | 125 Broad St # 3, New York, NY 10004 | 2017-07-05 |
| 1255861449 | Melyssa Astorga | Dentist · General Practice | 11 Broadway Lbby 5, New York, NY 10004 | 2017-06-19 |
| 1912439381 | Lisa Hairston | Nurse Practitioner · Family | 55 Broad St. 21st Floor, New York, NY 10004 | 2017-04-03 |
| 1487017042 | Dana Lynn Zwiebel | Dentist · General Practice | 27 Whitehall St Fl 6, New York, NY 10004 | 2016-03-31 |
| 1942549233 | Thea Barbara Mccallion | Acupuncturist | 80 Broad Street, Suite 1401, New York, NY 10004 | 2013-02-06 |
| 1437448073 | Steven Lloyd Soignet | Internal Medicine | 55 Broad St., Suite 1840, New York, NY 10004 | 2011-04-05 |
| 1730478371 | James Bernard Dougherty Jr. | Internal Medicine | 55 Broad Street Suite 1840, Arcus Group, New York, NY 10004 | 2011-04-05 |
| 1114167871 | Alexis Pastera Penaflorida | Physical Medicine & Rehabilitation | 55 Broad Street, Suite #15f Downtown Spine Sports & Orthopedic Rehabili, New York, NY 10004 | 2009-02-20 |
| Find all providers in zip 10004 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043801053 | Seth Adam Walker | 152 W 140th St Apt 5g, New York, NY 10030-1971 | 2021-02-02 | |
| 1669063848 | Brenda Gayle Zubay | 244 5th Ave Fl 9, New York, NY 10001-7934 | 2021-01-29 | |
| 1639760200 | Vanessa Bruce Miller | 230 W 23rd St, New York, NY 10011-2301 | 2021-01-27 | |
| 1336739184 | Daniel Bruh | 333 E 66th St Apt 9f, New York, NY 10065-6235 | 2021-01-25 | |
| 1497344212 | Sophia Armington | 49 W 24th St # 605, New York, NY 10010-3206 | 2021-01-15 | |
| 1942899893 | Chinetta Mitchell · Chinetta L Mitchell | 465 W 166th St Apt 4e, New York, NY 10032-4444 | 2021-01-14 | |
| 1366030306 | Rachel Shapiro | 519 3rd Ave Apt 3, New York, NY 10016-4764 | 2021-01-05 | |
| 1215524954 | Rachel Hall | 157 Rivington St Apt 1, New York, NY 10002-2451 | 2020-12-29 | |
| 1902492275 | Anna Christina Mavrikakis | 300 Riverside Dr Apt 5h, New York, NY 10025-5268 | 2020-12-21 | |
| 1114513298 | Tracy Kennedy Flynn | 17 E 96th St # 16d, New York, NY 10128-0783 | 2020-12-14 | |
| Find all providers in NEW YORK | ||||
| City | NEW YORK |
| Zip Code | 10004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407375777 | Town of Jackman · Jackman-Moose River Fire & Rescue Department | Ambulance · Land Transport | 376 Main St, Jackman, ME 04945-9999 | 2017-09-18 |
| 1740790336 | Jackman Eye · Md Jackman Od and Associates, Pllc | Optometrist | 1000 W 39th St, Austin, TX 78756-4008 | 2017-10-09 |
| 1366800138 | Penobscot Community Health Center · Jackman Urgent Care Center | Clinic/Center · Federally Qualified Health Center (FQHC) | 376 Main St, Jackman, ME 04945-5214 | 2016-02-08 |
| 1104908300 | Mainegeneral Medical Center · Jackman Region Health Center | Nursing Facility/Intermediate Care Facility | 376 Main St, Jackman, ME 04945-5214 | 2006-10-19 |
| 1093227209 | Paul Jackman · Paul Jackman | Counselor · Mental Health | 2994 S Gould Wash Rd, Hurricane, UT 84737 | 2017-10-27 |
| 1942499272 | Monica Moore Jackman · Monica Moore Jackman | Occupational Therapist | 600 Sw Darwin Blvd, Suite 101b, Port St Lucie, FL 34953-3365 | 2007-10-23 |
| 1669802849 | Penobscot Community Health Center · Jackman Community Health Center | Clinic/Center · Federally Qualified Health Center (FQHC) | 376 Main St, Jackman, ME 04945 | 2013-11-25 |
| 1770914459 | Carl Li · Carl Li | Preventive Medicine · Public Health & General Preventive Medicine | 270 Farber Hall, 3435 Main Street, Buffalo, NY 14214-8001 | 2013-12-06 |
| 1083857635 | Yuan-Feng Carl Carl Lo | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2009-04-13 |
| 1245508357 | Janell Carl | Physical Therapy Assistant | 60 Carl Ln, Hegins, PA 17938-9380 | 2011-12-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.