Christine M. Jackson in Washington - Clinical

Christine M. Jackson - NPI 1104963560

Christine M. Jackson is a Clinical in Washington, District Of Columbia. Christine M. Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Christine M. Jackson is 1104963560. The last update date is 2007-07-08.

Christine M. Jackson's current location address is 5112 Connecticut Ave Nw, Washington, District Of Columbia. You can contact this provider via phone number 2029661130. The mailing address for Christine M. Jackson is 5112 Connecticut Ave Nw, Washington, District Of Columbia. To know further, please read the information below!

Provider Profile Detail

Provider Name Christine M. Jackson
Address 5112 Connecticut Ave Nw, Washington, District Of Columbia
Phone Number 2029661130
Fax Number
Sole Proprietor Y
Credentials MSW

NPI Number Detail

NPI Number 1104963560
Provider Enumeration Date 2007-02-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5112 Connecticut Ave Nw
City Washington
State District Of Columbia (DC)
Post Code 200082065
Phone Number 2029661130
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LC303202
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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FAQs about Christine M. Jackson

What is the unique 10-digit identifier code assigned to Christine M. Jackson by the Centers for Medicare & Medicaid Services?

The Christine M. Jackson has been issued the NPI (National Provider Identifier) 1104963560 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Christine M. Jackson is located?

The Christine M. Jackson is situated at the following address: 5112 Connecticut Ave Nw, Washington, DC, 200082065.

What is Christine M. Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Christine M. Jackson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When was the Christine M. Jackson's 1104963560 issued?

The Christine M. Jackson's 1104963560 was issued on 2007-02-01.

As of what date was the information regarding Christine M. Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Christine M. Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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