Carol Jackson is a Clinical in Fayetteville, Arkansas. Carol Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol Jackson is 1710180872. The last update date is 2015-05-26.
Carol Jackson's current location address is 1100 N College Ave, Fayetteville, Arkansas. You can contact this provider via phone number 4794444044. The mailing address for Carol Jackson is 1100 N College Ave, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Jackson |
|---|---|
| Address | 1100 N College Ave, Fayetteville, Arkansas |
| Phone Number | 4794444044 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LISW - S, |
NPI Number Detail
| NPI Number | 1710180872 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2015-05-26 |
Provider Mailing Address Detail
| Address | 1100 N College Ave |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727031944 |
| Phone Number | 4794444044 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I 0028219 |
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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 unique 10-digit identification code issued to Carol Jackson by the Centers for Medicare & Medicaid Services?
The Carol Jackson has been assigned the NPI (National Provider Identifier) 1710180872 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Carol Jackson is physically located?
The Carol Jackson is physically situated at the following address: 1100 N College Ave, Fayetteville, AR, 727031944.
What is Carol Jackson's area of expertise and its corresponding taxonomy classification?
The Carol Jackson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1710180872 assigned to Carol Jackson?
The Carol Jackson was issued its 1710180872 on 2007-06-07, 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 Carol Jackson's details last updated?
The information pertaining to the Carol Jackson, including its address, specialty, and other details, was most recently updated on 2015-05-26.