MRS. AUTUMN KAMINEH BADGER JACKSON
NPI 1497504070
Social Worker - Clinical in Danville, IL

NPI Status: Active since May 15, 2024

Contact Information

1900 E MAIN ST
DANVILLE, IL
ZIP 61832
Phone: (217) 554-4074

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  • Individual
  • Female
  • Social Worker
  • Clinical

About AUTUMN JACKSON

This page provides the complete NPI Profile along with additional information for Autumn Jackson, a provider established in Danville, Illinois with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1497504070 assigned on May 2024. The practitioner's primary taxonomy code is 1041C0700X with license number 150111308 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1497504070
Provider Name
MRS. AUTUMN KAMINEH BADGER JACKSON
Gender
Female
Entity Type
Individual
Location Address
1900 E MAIN ST DANVILLE, IL 61832
Location Phone
(217) 554-4074
Mailing Address
1900 E MAIN ST DANVILLE, IL 61832
Mailing Phone
(217) 554-4074
Is Sole Proprietor?
No
Enumeration Date
05-15-2024
Last Update Date
05-15-2024
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A clinical social worker like Autumn Jackson is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
150111308
License State
IL
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497504070
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241871008014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 0 + 0 + 8 + 0 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1497504070 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790759033DR. KOLALA VASUDEVAMURTHY M.D.
Individual
Internal Medicine (Cardiovascular Disease)1900 E MAIN ST VA ILLIANA HCS
DANVILLE, IL 61832
(217) 554-5495
1699737585MR. WAYNE THOMAS WING PA-C
Individual
Physician Assistant (Surgical)1900 E MAIN ST SURGICAL SERVICE
DANVILLE, IL 61832
(217) 554-5467
1699730630MRS. BETH PERALTA MS, RD, LDN
Individual
Dietitian, Registered1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-3000
1780626952MRS. SUSAN M ROBERTS M.A., CCC-SLP
Individual
Speech-Language Pathologist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5621
1982647046 GARY ALAN VANHUYSEN OTR
Individual
Occupational Therapist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5243
1144257858 KATHERINE JOANNE GOOD RIGGS RPT
Individual
Physical Therapist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5231
1821004169MS. MONICA G GRANT MA, CCC-A, FAAA
Individual
Audiologist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-4522
1790794428DR. LINDA BLACK SHUMAKER PHARMD
Individual
Pharmacist1900 E MAIN ST 119
DANVILLE, IL 61832
(217) 554-4239
1538178702DR. JON GEORGE LEGRANT PHARM.D.
Individual
Pharmacist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5342
1184633109DR. ANDREW E SCHAEFER PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1900 E MAIN ST OUTPATIENT PHARMACY
DANVILLE, IL 61832
(217) 554-4264
1275543019MS. DARLENE L ETTER L.C.S.W
Individual
Social Worker (Clinical)1900 E MAIN ST
DANVILLE, IL 61832
(217) 442-8000
1376553818 KIMBERLY ANN KELLEY MSW,LCSW
Individual
Social Worker (Clinical)1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5137
1487664611MR. THOMAS F SHUMAKER PRH
Individual
Pharmacist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-3128
1972513042MRS. SUSAN L VENTER LMSW
Individual
Social Worker1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5527
1649281411DR. ANIL B GOPINATH MD
Individual
Internal Medicine1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-3000
1578575528MRS. JUDITH ANN PHILLIPPE LCSW
Individual
Social Worker (Clinical)1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-4867
1396756672DR. WILLIAM MICHAEL KENNY M.D.
Individual
Specialist1900 E MAIN ST 1900 E. MAIN STREET
DANVILLE, IL 61832
(217) 442-8000
1508877804DR. RICHARD C. SHEPHERD PH.D.
Individual
Psychologist1900 E MAIN ST
DANVILLE, IL 61832
(309) 497-0790
1790797769 PATRICIA L TODD APN, CNP
Individual
Nurse Practitioner1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-3173
1740292440 DELBERT F SIEGMUND PHARM. D.
Individual
Pharmacist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5345

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497504070, enumerated in the NPI registry as an "individual" on May 15, 2024

The provider is located at 1900 E Main St Danville, Il 61832 and the phone number is (217) 554-4074

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on May 15, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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