Active NPIIndividual providerSole proprietor

Tiffany Jackson, LSCW

Social Worker, Clinical in Princeton, New Jersey

NPI Number1639728413
Practice location
300 Carnegie Ctr Ste 150, Princeton, NJ 08540-6285
Fax
—
Last updated
December 8, 2025

Tiffany Jackson is a Social Worker, Clinical based in Princeton, NJ. Tiffany Jackson practices in Princeton, NJ and has the professional credentials of LSCW. The NPI Number for Tiffany Jackson is 1639728413 and holds a License No. 44SC05840600 (NJ). The current practice location address for Tiffany Jackson is 300 Carnegie Ctr Ste 150, Princeton, NJ 08540-6285 and can be reached out via phone at 609-831-3979.

Provider Profile Details

NPI Number
1639728413
Provider Name
Tiffany Jackson
Credential
LSCW
Provider Entity Type
Individual
Gender
Female
Address
300 Carnegie Ctr Ste 150, Princeton, NJ 08540-6285
Phone Number
609-831-3979
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 5, 2019
Last Update Date
December 8, 2025
Certification Date
December 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Carnegie Ctr Ste 150
Princeton, NJ 08540-6285
Zip
08540-6285
Phone Number
609-831-3979
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
300 Carnegie Ctr Ste 150
Princeton, NJ 08540-6285
City
Princeton
State
NJ
Zip
08540-6285
Phone Number
609-831-3979

License Information

License Number
44SC05840600
License State
NJ
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 Tiffany Jackson, LSCW?

The NPI number of Tiffany Jackson, LSCW is 1639728413. It was assigned on September 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Tiffany Jackson, LSCW?

Tiffany Jackson, LSCW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05840600.

Where does Tiffany Jackson, LSCW practice?

The practice location is 300 Carnegie Ctr Ste 150, Princeton, NJ 08540-6285. The office can be reached at 609-831-3979 (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 1639728413 directly on the NPPES registry website.

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