Alexander Enacio Jackson in Oakland - Clinical
Alexander Enacio Jackson - NPI 1801816244
Alexander Enacio Jackson is a Clinical in Oakland, California. Alexander Enacio Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alexander Enacio Jackson is 1801816244. The last update date is 2009-04-28.
Alexander Enacio Jackson's current location address is 7200 Bancroft Ave, Oakland, California. You can contact this provider via phone number 5107773877 and fax number 5107773880. The mailing address for Alexander Enacio Jackson is 7200 Bancroft Ave, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexander Enacio Jackson |
|---|---|
| Address | 7200 Bancroft Ave, Oakland, California |
| Phone Number | 5107773877 |
| Fax Number | 5107773880 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1801816244 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2009-04-28 |
Provider Mailing Address Detail
| Address | 7200 Bancroft Ave |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946052403 |
| Phone Number | 5107773877 |
| Fax Number | 5107773880 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS19196 |
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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, certif |
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Post Comment/ Review Below
What is the Alexander Enacio Jackson's unique identification number?
The Alexander Enacio Jackson has been assigned the NPI (National Provider Identifier) Number 1801816244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Alexander Enacio Jackson's facilities are geographically located?
The facilities of Alexander Enacio Jackson are physically situated at the following location: 7200 Bancroft Ave, Oakland, CA, 946052403.
What is Alexander Enacio Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Alexander Enacio Jackson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did the Alexander Enacio Jackson receive its 1801816244?
The Alexander Enacio Jackson was issued its 1801816244 on 2006-07-20, which is the date when the organization was assigned this unique identifier.
When was the Alexander Enacio Jackson's information last updated?
The Alexander Enacio Jackson's information was last updated on 2009-04-28.