Alicia Carol Jackson in Long Island City - Clinical
Alicia Carol Jackson - NPI 1376622217
Alicia Carol Jackson is a Clinical in Long Island City, New York. Alicia Carol Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alicia Carol Jackson is 1376622217. The last update date is 2007-07-08.
Alicia Carol Jackson's current location address is 3520 24th St, Long Island City, New York. You can contact this provider via phone number 7187068097. The mailing address for Alicia Carol Jackson is 3520 24th St, Long Island City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia Carol Jackson |
|---|---|
| Address | 3520 24th St, Long Island City, New York |
| Phone Number | 7187068097 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | 2005-01-31 |
NPI Number Detail
| NPI Number | 1376622217 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3520 24th St |
|---|---|
| City | Long Island City |
| State | New York (NY) |
| Post Code | 111064470 |
| Phone Number | 7187068097 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 069227-1 |
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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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What is the unique identification code assigned to Alicia Carol Jackson by the Centers for Medicare & Medicaid Services?
The Alicia Carol Jackson has been issued the NPI (National Provider Identifier) 1376622217. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Alicia Carol Jackson?
The Alicia Carol Jackson is situated at 3520 24Th St, in the city of Long Island City, state of NY, with the zip code 111064470.
What is the Alicia Carol Jackson's specialty and taxonomy code?
The Alicia Carol Jackson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1376622217 assigned to Alicia Carol Jackson?
The Alicia Carol Jackson was issued its 1376622217 on 2006-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Alicia Carol Jackson most recently updated or revised?
The information pertaining to Alicia Carol Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.