Donald John Jackson in Chepachet - Clinical
Donald John Jackson - NPI 1811185721
Donald John Jackson is a Clinical in Chepachet, Rhode Island. Donald John Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donald John Jackson is 1811185721. The last update date is 2007-10-05.
Donald John Jackson's current location address is 63 Harmony Hill Rd, Chepachet, Rhode Island. You can contact this provider via phone number 4019490690 and fax number 4019492060. The mailing address for Donald John Jackson is 63 Harmony Hill Rd, Chepachet, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald John Jackson |
|---|---|
| Address | 63 Harmony Hill Rd, Chepachet, Rhode Island |
| Phone Number | 4019490690 |
| Fax Number | 4019492060 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1811185721 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 63 Harmony Hill Rd |
|---|---|
| City | Chepachet |
| State | Rhode Island (RI) |
| Post Code | 28141429 |
| Phone Number | 4019490690 |
| Fax Number | 4019492060 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW00561 |
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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 Donald John Jackson's unique identification number?
The Donald John Jackson has been assigned the NPI (National Provider Identifier) Number 1811185721 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Donald John Jackson's facilities are geographically located?
The facilities of Donald John Jackson are physically situated at the following location: 63 Harmony Hill Rd, Chepachet, RI, 28141429.
What is Donald John 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 Donald John Jackson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811185721 to Donald John Jackson?
The Centers for Medicare & Medicaid Services assigned the 1811185721 to Donald John Jackson on 2007-10-05.
When was the Donald John Jackson's information last updated?
The Donald John Jackson's information was last updated on 2007-10-05.
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