Jessica Jackson is a Clinical in Brighton, Massachusetts. Jessica Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Jackson is 1114076684. The last update date is 2007-07-08.
Jessica Jackson's current location address is 77 Warren St, Brighton, Massachusetts. You can contact this provider via phone number 6172540964. The mailing address for Jessica Jackson is 77 Warren St, Brighton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Jackson |
|---|---|
| Address | 77 Warren St, Brighton, Massachusetts |
| Phone Number | 6172540964 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1114076684 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 77 Warren St |
|---|---|
| City | Brighton |
| State | Massachusetts (MA) |
| Post Code | 21353601 |
| Phone Number | 6172540964 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 113911 |
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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 Jessica Jackson's unique identification number?
The Jessica Jackson has been assigned the NPI (National Provider Identifier) Number 1114076684 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jessica Jackson is physically located?
The Jessica Jackson is physically situated at the following address: 77 Warren St, Brighton, MA, 21353601.
What is Jessica Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica Jackson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114076684 to Jessica Jackson?
The Jessica Jackson received its 1114076684 assignment from the Centers for Medicare & Medicaid Services on 2007-01-10.
As of what date was the information regarding Jessica Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jessica Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.