Active NPIIndividual provider

Caleb Jackson, MA

Social Worker, Clinical in Gloucester, Massachusetts

NPI Number1598270142
Practice location
298 Washington St, Gloucester, MA 01930-4832
Fax
—
Last updated
October 10, 2022

Caleb Jackson is a Social Worker, Clinical based in Gloucester, MA. Caleb Jackson practices in Gloucester, MA and has the professional credentials of MA. The NPI Number for Caleb Jackson is 1598270142. The current practice location address for Caleb Jackson is 298 Washington St, Gloucester, MA 01930-4832 and can be reached out via phone at 978-283-0296.

Provider Profile Details

NPI Number
1598270142
Provider Name
Caleb Jackson
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
298 Washington St, Gloucester, MA 01930-4832
Phone Number
978-283-0296
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2017
Last Update Date
October 10, 2022
Certification Date
October 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
298 Washington St
Gloucester, MA 01930-4832
Zip
01930-4832
Phone Number
978-283-0296
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
298 Washington St
Gloucester, MA 01930-4832
City
Gloucester
State
MA
Zip
01930-4832
Phone Number
978-283-0296
Fax Number
978-281-7631

License Information

Taxonomy (1)
Specialist · 174400000X
Taxonomy (2)
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 Caleb Jackson, MA?

The NPI number of Caleb Jackson, MA is 1598270142. It was assigned on December 5, 2017 and is currently active in the NPPES registry.

What is the specialty of Caleb Jackson, MA?

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

Where does Caleb Jackson, MA practice?

The practice location is 298 Washington St, Gloucester, MA 01930-4832. The office can be reached at 978-283-0296 (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 1598270142 directly on the NPPES registry website.

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