Active NPIIndividual providerSole proprietor

Dr. Joanne Jackal, PHD, LCSW CASAC

Social Worker, Clinical in Millburn, New Jersey

NPI Number1174702500
Practice location
7 Undercliff RD, Millburn, NJ 07041-1509
Fax
973-564-7651
Last updated
November 1, 2007

Joanne Jackal is a Social Worker, Clinical based in Millburn, NJ. Joanne Jackal practices in Millburn, NJ and has the professional credentials of PHD, LCSW CASAC. The NPI Number for Joanne Jackal is 1174702500 and holds a License No. 2404 (NY). The current practice location address for Joanne Jackal is 7 Undercliff RD, Millburn, NJ 07041-1509 and can be reached out via phone at 973-564-7651 and via fax at 973-564-7651.

Provider Profile Details

NPI Number
1174702500
Provider Name
Joanne Jackal
Credential
PHD, LCSW CASAC
Provider Entity Type
Individual
Gender
Female
Address
7 Undercliff RD, Millburn, NJ 07041-1509
Phone Number
973-564-7651
Fax Number
973-564-7651
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 1, 2007
Last Update Date
November 1, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Undercliff RD
Millburn, NJ 07041-1509
Zip
07041-1509
Phone Number
973-564-7651
Fax Number
973-564-7651
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
7 Undercliff RD
Millburn, NJ 07041-1509
City
Millburn
State
NJ
Zip
07041-1509
Phone Number
973-564-7651
Fax Number
973-564-7651

License Information

License Number (1)
2404
License State (1)
NY
License Number (2)
44sc04547900
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary
License Number (3)
00261268
License State (3)
NJ
Taxonomy (3)
Social Worker, School · 1041S0200X

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 Dr. Joanne Jackal, PHD, LCSW CASAC?

The NPI number of Dr. Joanne Jackal, PHD, LCSW CASAC is 1174702500. It was assigned on November 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Joanne Jackal, PHD, LCSW CASAC?

Dr. Joanne Jackal, PHD, LCSW CASAC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 2404.

Where does Dr. Joanne Jackal, PHD, LCSW CASAC practice?

The practice location is 7 Undercliff RD, Millburn, NJ 07041-1509. The office can be reached at 973-564-7651 (phone) or 973-564-7651 (fax).

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 1174702500 directly on the NPPES registry website.

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