Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Russell L Jackson, QMHSBACMSBA

Individual provider Case Manager/Care Coordinator · NPI 1396218418

Russell L Jackson, QMHSBACMSBA is a Case Manager/Care Coordinator in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3500 Carnegie Ave
Cleveland, OH 44115-2641
Phone: (440) 260-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X (OH)

Record details

NPI number1396218418
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHSBACMSBA
Sole proprietorYes
NPI enumeratedJanuary 11, 2019
Last updated in NPPESJanuary 11, 2019

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