Active NPIIndividual provider

Mrs. Maria Jackson, LICSW

Social Worker, Clinical in Haverhill, Massachusetts

NPI Number1255497772
Practice location
76 Summer St, Haverhill, MA 01830-5814
Fax
978-373-8223
Last updated
December 6, 2011

Maria Jackson is a Social Worker, Clinical based in Haverhill, MA. Maria Jackson practices in Haverhill, MA and has the professional credentials of LICSW. The NPI Number for Maria Jackson is 1255497772 and holds a License No. 115137 (MA). The current practice location address for Maria Jackson is 76 Summer St, Haverhill, MA 01830-5814 and can be reached out via phone at 978-556-6260 and via fax at 978-373-8223.

Provider Profile Details

NPI Number
1255497772
Provider Name
Maria Jackson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
76 Summer St, Haverhill, MA 01830-5814
Phone Number
978-556-6260
Fax Number
978-373-8223
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 29, 2006
Last Update Date
December 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 Summer St
Haverhill, MA 01830-5814
Zip
01830-5814
Phone Number
978-556-6260
Fax Number
978-373-8223
Haverhill, MA 01830Get directions →

Provider Business Mailing Address Details

Address
76 Summer St
Haverhill, MA 01830-5814
City
Haverhill
State
MA
Zip
01830-5814
Phone Number
978-556-6260
Fax Number
978-373-8223

License Information

License Number
115137
License State
MA
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 Mrs. Maria Jackson, LICSW?

The NPI number of Mrs. Maria Jackson, LICSW is 1255497772. It was assigned on December 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Maria Jackson, LICSW?

Mrs. Maria Jackson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 115137.

Where does Mrs. Maria Jackson, LICSW practice?

The practice location is 76 Summer St, Haverhill, MA 01830-5814. The office can be reached at 978-556-6260 (phone) or 978-373-8223 (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 1255497772 directly on the NPPES registry website.

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