Active NPIIndividual provider

Latosha M Jackson, LICSW

Social Worker, Clinical in Concord, New Hampshire

NPI Number1477992188
Practice location
6 Chenell Dr Ste 100, Concord, NH 03301-8514
Fax
—
Last updated
December 23, 2021

Latosha M Jackson is a Social Worker, Clinical based in Concord, NH. Latosha M Jackson practices in Concord, NH and has the professional credentials of LICSW. The NPI Number for Latosha M Jackson is 1477992188 and holds a License No. 2108 (NE). The current practice location address for Latosha M Jackson is 6 Chenell Dr Ste 100, Concord, NH 03301-8514 and can be reached out via phone at 402-469-6899.

Provider Profile Details

NPI Number
1477992188
Provider Name
Latosha M Jackson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
6 Chenell Dr Ste 100, Concord, NH 03301-8514
Phone Number
402-469-6899
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Latosha M Duester, MSW (Former Name)
Provider Enumeration Date
June 17, 2013
Last Update Date
December 23, 2021
Certification Date
December 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Chenell Dr Ste 100
Concord, NH 03301-8514
Zip
03301-8514
Phone Number
402-469-6899
Concord, NH 03301Get directions →

Provider Business Mailing Address Details

Address
1 Hardy RD # 128
Bedford, NH 03110-4915
City
Bedford
State
NH
Zip
03110-4915
Phone Number
402-469-6899

License Information

License Number (1)
2108
License State (1)
NE
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
1822
License State (2)
NE
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
2138
License State (3)
NH
Taxonomy (3)
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 Latosha M Jackson, LICSW?

The NPI number of Latosha M Jackson, LICSW is 1477992188. It was assigned on June 17, 2013 and is currently active in the NPPES registry.

What is the specialty of Latosha M Jackson, LICSW?

Latosha M Jackson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NE under license number 2108.

Where does Latosha M Jackson, LICSW practice?

The practice location is 6 Chenell Dr Ste 100, Concord, NH 03301-8514. The office can be reached at 402-469-6899 (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 1477992188 directly on the NPPES registry website.

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