Christopher S Jackson in Augusta - Clinical

Christopher S Jackson - NPI 1821145525

Christopher S Jackson is a Clinical in Augusta, Maine. Christopher S Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Christopher S Jackson is 1821145525. The last update date is 2011-12-02.

Christopher S Jackson's current location address is 72 Winthrop Street, Augusta, Maine. You can contact this provider via phone number 2076263478 and fax number 2076267586. The mailing address for Christopher S Jackson is 72 Winthrop Street, Augusta, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Christopher S Jackson
Address 72 Winthrop Street, Augusta, Maine
Phone Number 2076263478
Fax Number 2076267586
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1821145525
Provider Enumeration Date 2007-01-04
Last Updated Date 2011-12-02

Provider Mailing Address Detail

Address 72 Winthrop Street
City Augusta
State Maine (ME)
Post Code 4330
Phone Number 2076263478
Fax Number 2076267586

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No MC8738
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 Christopher S Jackson

What is the unique identifier code issued to Christopher S Jackson by the Centers for Medicare & Medicaid Services (CMS)?

The Christopher S Jackson has been assigned the NPI (National Provider Identifier) 1821145525. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Christopher S Jackson is physically located?

The Christopher S Jackson is situated at the following address: 72 Winthrop Street, Augusta, ME 4330.

What is Christopher S Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Christopher S Jackson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1821145525 to Christopher S Jackson?

The Centers for Medicare & Medicaid Services assigned the 1821145525 to Christopher S Jackson on 2007-01-04.

When was the information related to Christopher S Jackson most recently updated or refreshed?

The details pertaining to the Christopher S Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-12-02.

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