Active NPIIndividual provider

Breanna A Jackson

Social Worker, Clinical in Plainville, Connecticut

NPI Number1255861530
Practice location
74 East St, Plainville, CT 06062-2367
Fax
—
Last updated
July 21, 2022

Breanna Ashley Jackson is a Social Worker, Clinical based in Plainville, CT. Breanna Ashley Jackson practices in Plainville, CT. The NPI Number for Breanna Ashley Jackson is 1255861530. The current practice location address for Breanna Ashley Jackson is 74 East St, Plainville, CT 06062-2367 and can be reached out via phone at 860-793-3500.

Provider Profile Details

NPI Number
1255861530
Provider Name
Breanna Ashley Jackson
Provider Entity Type
Individual
Gender
Female
Address
74 East St, Plainville, CT 06062-2367
Phone Number
860-793-3500
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2017
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
74 East St
Plainville, CT 06062-2367
Zip
06062-2367
Phone Number
860-793-3500
Plainville, CT 06062Get directions →

Provider Business Mailing Address Details

Address
417 Liberty St
Springfield, MA 01104-3736
City
Springfield
State
MA
Zip
01104-3736
Phone Number
413-733-6661
Fax Number
413-733-7841

License Information

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 Breanna A Jackson?

The NPI number of Breanna A Jackson is 1255861530. It was assigned on June 19, 2017 and is currently active in the NPPES registry.

What is the specialty of Breanna A Jackson?

Breanna A Jackson is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Breanna A Jackson practice?

The practice location is 74 East St, Plainville, CT 06062-2367. The office can be reached at 860-793-3500 (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 1255861530 directly on the NPPES registry website.

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