Active NPIIndividual provider

Carlton Jackson

Social Worker in Dearborn, Michigan

NPI Number1235583758
Practice location
3101 S Gulley RD, Ste F, Dearborn, MI 48124-4406
Fax
—
Last updated
April 21, 2016

Carlton Jackson is a Social Worker based in Dearborn, MI. Carlton Jackson practices in Dearborn, MI. The NPI Number for Carlton Jackson is 1235583758. The current practice location address for Carlton Jackson is 3101 S Gulley RD, Ste F, Dearborn, MI 48124-4406 and can be reached out via phone at 734-407-2500.

Provider Profile Details

NPI Number
1235583758
Provider Name
Carlton Jackson
Provider Entity Type
Individual
Gender
Male
Address
3101 S Gulley RD, Ste F, Dearborn, MI 48124-4406
Phone Number
734-407-2500
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
April 21, 2016
Last Update Date
April 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
3101 S Gulley RD
Ste F
Dearborn, MI 48124-4406
Zip
48124-4406
Phone Number
734-407-2500
Dearborn, MI 48124Get directions →

Provider Business Mailing Address Details

Address
136 William St
Springfield, MA 01105-2324
City
Springfield
State
MA
Zip
01105-2324
Phone Number
734-407-2500

License Information

Taxonomy (1)
Social Worker · 104100000X · Primary
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Carlton Jackson?

The NPI number of Carlton Jackson is 1235583758. It was assigned on April 21, 2016 and is currently active in the NPPES registry.

What is the specialty of Carlton Jackson?

Carlton Jackson is registered under the primary taxonomy Social Worker (code 104100000X).

Where does Carlton Jackson practice?

The practice location is 3101 S Gulley RD, Ste F, Dearborn, MI 48124-4406. The office can be reached at 734-407-2500 (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 1235583758 directly on the NPPES registry website.

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