Jackie Small, MA, LPC, CLC
Counselor, Professional in Westport, Connecticut
1093115974- Practice location
- 1 Turkey Hill RD S, Suite 2L, Westport, CT 06880-5525
- Phone
- 646-246-7379
- Fax
- —
- Last updated
- March 31, 2017
Jackie Small is a Counselor, Professional based in Westport, CT. Jackie Small practices in Westport, CT and has the professional credentials of MA, LPC, CLC. The NPI Number for Jackie Small is 1093115974 and holds a License No. 3158 (CT). The current practice location address for Jackie Small is 1 Turkey Hill RD S, Suite 2L, Westport, CT 06880-5525 and can be reached out via phone at 646-246-7379.
Provider Profile Details
- NPI Number
- 1093115974
- Provider Name
- Jackie Small
- Credential
- MA, LPC, CLC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Turkey Hill RD S, Suite 2L, Westport, CT 06880-5525
- Phone Number
- 646-246-7379
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 28, 2014
- Last Update Date
- March 31, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Turkey Hill RD S
Suite 2L
Westport, CT 06880-5525 - City
- Westport
- State
- Connecticut
- Zip
- 06880-5525
- Phone Number
- 646-246-7379
Provider Business Mailing Address Details
- Address
- 1 Turkey Hill RD S
Suite 2L
Westport, CT 06880-5525 - City
- Westport
- State
- CT
- Zip
- 06880-5525
License Information
- License Number (1)
- 3158
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Professional · 101YP2500X · Primary
- License Number (2)
- ALPP-203587
- License State (2)
- CT
- Taxonomy (2)
- Lactation Consultant, Non-RN · 174N00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Professional providers near Westport, CT
View all Counselor, Professional providers in Westport →- Andree PalmgrenCounselor, Professional · NPI 1053891044
- Beverly G Isenberg, LPCCounselor, Professional · NPI 1235385949
- Chelsea AckermanCounselor, Professional · NPI 1518608132
- Denese Marshall LLCCounselor, Professional · NPI 1982175014
- Denese Marshall, LPCCounselor, Professional · NPI 1457822587
- Derio M Rivera, LPC, NCCCounselor, Professional · NPI 1407426919
Frequently Asked Questions
What is the NPI number of Jackie Small, MA, LPC, CLC?
The NPI number of Jackie Small, MA, LPC, CLC is 1093115974. It was assigned on August 28, 2014 and is currently active in the NPPES registry.
What is the specialty of Jackie Small, MA, LPC, CLC?
Jackie Small, MA, LPC, CLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 3158.
Where does Jackie Small, MA, LPC, CLC practice?
The practice location is 1 Turkey Hill RD S, Suite 2L, Westport, CT 06880-5525. The office can be reached at 646-246-7379 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093115974 directly on the NPPES registry website.