Sandra Gordon Jackson in Houston - Clinical
Sandra Gordon Jackson - NPI 1316089840
Sandra Gordon Jackson is a Clinical in Houston, Texas. Sandra Gordon Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandra Gordon Jackson is 1316089840. The last update date is 2007-07-08.
Sandra Gordon Jackson's current location address is 2121 Sage Rd Ste 180, Houston, Texas. You can contact this provider via phone number 7136227590 and fax number 7136227599. The mailing address for Sandra Gordon Jackson is 2121 Sage Rd Ste 180, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Gordon Jackson |
|---|---|
| Address | 2121 Sage Rd Ste 180, Houston, Texas |
| Phone Number | 7136227590 |
| Fax Number | 7136227599 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1316089840 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2121 Sage Rd Ste 180 |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770564326 |
| Phone Number | 7136227590 |
| Fax Number | 7136227599 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | S02039 |
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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 provider identifier assigned to Sandra Gordon Jackson?
The Sandra Gordon Jackson has been issued the NPI (National Provider Identifier) 1316089840 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Sandra Gordon Jackson?
The Sandra Gordon Jackson is situated at 2121 Sage Rd Ste 180, in the city of Houston, state of TX, with the zip code 770564326.
What is Sandra Gordon Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sandra Gordon Jackson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316089840 to Sandra Gordon Jackson?
The Sandra Gordon Jackson received its 1316089840 assignment from the Centers for Medicare & Medicaid Services on 2007-02-12.
As of what date were the details pertaining to Sandra Gordon Jackson last refreshed?
The information related to the Sandra Gordon Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.