Albert Jackson is a Clinical in Brockton, Massachusetts. Albert Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Albert Jackson is 1780714063. The last update date is 2007-07-08.
Albert Jackson's current location address is 165 Quincy St, Brockton, Massachusetts. You can contact this provider via phone number 5088972176. The mailing address for Albert Jackson is 165 Quincy St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Albert Jackson |
|---|---|
| Address | 165 Quincy St, Brockton, Massachusetts |
| Phone Number | 5088972176 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1780714063 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 165 Quincy St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23022988 |
| Phone Number | 5088972176 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 301315 |
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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 Albert Jackson's 1780714063?
The Albert Jackson's NPI (National Provider Identifier) Number is 1780714063. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Albert Jackson's facilities are situated?
The facilities of Albert Jackson are physically located at the following address: 165 Quincy St, Brockton, MA, 23022988.
What is Albert 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 Albert Jackson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Albert Jackson receive the assignment of its 1780714063 from the Centers for Medicare & Medicaid Services?
The Albert Jackson was issued its 1780714063 by the Centers for Medicare & Medicaid Services on 2007-03-06.
As of what date were the Albert Jackson's details last updated?
The information pertaining to the Albert Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-08.