Ellen Jackson, Lcsw, Llc in Falmouth - Clinical
Ellen Jackson, Lcsw, Llc - NPI 1104097948
Ellen Jackson, Lcsw, Llc is a Clinical in Falmouth, Maine. Ellen Jackson, Lcsw, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen Jackson, Lcsw, Llc is 1104097948. The last update date is 2008-03-20.
Ellen Jackson, Lcsw, Llc's current location address is 3 Fundy Road, Falmouth, Maine. You can contact this provider via phone number 2077809966 and fax number 2077809966. The mailing address for Ellen Jackson, Lcsw, Llc is 3 Fundy Road, Falmouth, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ellen Jackson, Lcsw, Llc |
|---|---|
| Address | 3 Fundy Road, Falmouth, Maine |
| Phone Number | 2077809966 |
| Fax Number | 2077809966 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jackson M. R. Ellen |
| Credentials | LCSW |
| Telephone Number | 2077809966 |
NPI Number Detail
| NPI Number | 1104097948 |
|---|---|
| Provider Enumeration Date | 2008-03-20 |
| Last Updated Date | 2008-03-20 |
Provider Mailing Address Detail
| Address | 3 Fundy Road |
|---|---|
| City | Falmouth |
| State | Maine (ME) |
| Post Code | 41051796 |
| Phone Number | 2077809966 |
| Fax Number | 2077809966 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC1392 ME |
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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 unique identifier code issued to Ellen Jackson, Lcsw, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Ellen Jackson, Lcsw, Llc has been assigned the NPI (National Provider Identifier) 1104097948. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Ellen Jackson, Lcsw, Llc's physical address?
The Ellen Jackson, Lcsw, Llc is physically located at 3 Fundy Road, in the city of Falmouth, ME, with the postal code 41051796.
What is the Ellen Jackson, Lcsw, Llc's specialty and taxonomy code?
The Ellen Jackson, Lcsw, Llc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Ellen Jackson, Lcsw, Llc receive its 1104097948 assignment from the Centers for Medicare & Medicaid Services?
The Ellen Jackson, Lcsw, Llc was assigned its 1104097948 on 2008-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Ellen Jackson, Lcsw, Llc's information last updated?
The Ellen Jackson, Lcsw, Llc's information was last updated on 2008-03-20.