Active NPIIndividual provider

Charisma Jackson, LCSW

Social Worker, Clinical in Watchung, New Jersey

NPI Number1114507050
Practice location
1515 Route 22 W Ste 1038, Watchung, NJ 07069-6509
Fax
—
Last updated
May 2, 2022

Charisma Jackson is a Social Worker, Clinical based in Watchung, NJ. Charisma Jackson practices in Watchung, NJ and has the professional credentials of LCSW. The NPI Number for Charisma Jackson is 1114507050 and holds a License No. 44SC06077800 (NJ). The current practice location address for Charisma Jackson is 1515 Route 22 W Ste 1038, Watchung, NJ 07069-6509 and can be reached out via phone at 908-731-0886.

Provider Profile Details

NPI Number
1114507050
Provider Name
Charisma Jackson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1515 Route 22 W Ste 1038, Watchung, NJ 07069-6509
Phone Number
908-731-0886
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 14, 2021
Last Update Date
May 2, 2022
Certification Date
May 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1515 Route 22 W Ste 1038
Watchung, NJ 07069-6509
Zip
07069-6509
Phone Number
908-731-0886
Watchung, NJ 07069Get directions →

Provider Business Mailing Address Details

Address
1515 Route 22 W Ste 1038
Watchung, NJ 07069-6509
City
Watchung
State
NJ
Zip
07069-6509
Phone Number
908-731-0886

License Information

License Number
44SC06077800
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Charisma Jackson, LCSW?

The NPI number of Charisma Jackson, LCSW is 1114507050. It was assigned on April 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Charisma Jackson, LCSW?

Charisma Jackson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06077800.

Where does Charisma Jackson, LCSW practice?

The practice location is 1515 Route 22 W Ste 1038, Watchung, NJ 07069-6509. The office can be reached at 908-731-0886 (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 1114507050 directly on the NPPES registry website.

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