Maria Jackson is a Clinical in Haverhill, Massachusetts. Maria Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maria Jackson is 1255497772. The last update date is 2011-12-06.
Maria Jackson's current location address is 76 Summer St, Haverhill, Massachusetts. You can contact this provider via phone number 9785566260 and fax number 9783738223. The mailing address for Maria Jackson is 76 Summer St, Haverhill, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria Jackson |
|---|---|
| Address | 76 Summer St, Haverhill, Massachusetts |
| Phone Number | 9785566260 |
| Fax Number | 9783738223 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1255497772 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2011-12-06 |
Provider Mailing Address Detail
| Address | 76 Summer St |
|---|---|
| City | Haverhill |
| State | Massachusetts (MA) |
| Post Code | 18305814 |
| Phone Number | 9785566260 |
| Fax Number | 9783738223 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 115137 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1312294 | MA | -- |
Post Comment/ Review Below
What is the Maria Jackson's 1255497772?
The Maria Jackson's NPI (National Provider Identifier) Number is 1255497772. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Maria Jackson is located?
The Maria Jackson is situated at the following address: 76 Summer St, Haverhill, MA, 18305814.
What is the area of specialization for Maria Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Maria Jackson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Maria Jackson receive the assignment of its 1255497772 from the Centers for Medicare & Medicaid Services?
The Maria Jackson was issued its 1255497772 by the Centers for Medicare & Medicaid Services on 2006-12-29.
When was the information regarding Maria Jackson most recently updated?
The details pertaining to the Maria Jackson, including its address, specialty, and other relevant information, were last refreshed on 2011-12-06.