Active NPIIndividual providerSole proprietor

Krystina Jackson

Social Worker in Hamden, Connecticut

NPI Number1649002569
Practice location
2911 Dixwell Ave Ste 301, Hamden, CT 06518-3130
Fax
—
Last updated
April 23, 2026

Krystina Jackson is a Social Worker based in Hamden, CT. Krystina Jackson practices in Hamden, CT. The NPI Number for Krystina Jackson is 1649002569 and holds a License No. 8881 (CT). The current practice location address for Krystina Jackson is 2911 Dixwell Ave Ste 301, Hamden, CT 06518-3130 and can be reached out via phone at 203-843-5810.

Provider Profile Details

NPI Number
1649002569
Provider Name
Krystina Jackson
Provider Entity Type
Individual
Gender
Female
Address
2911 Dixwell Ave Ste 301, Hamden, CT 06518-3130
Phone Number
203-843-5810
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 19, 2024
Last Update Date
April 23, 2026
Certification Date
April 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2911 Dixwell Ave Ste 301
Hamden, CT 06518-3130
City
Hamden
Zip
06518-3130
Phone Number
203-843-5810
Hamden, CT 06518Get directions →

Provider Business Mailing Address Details

Address
56 Rockwell Ave
Naugatuck, CT 06770-2708
City
Naugatuck
State
CT
Zip
06770-2708
Phone Number
860-230-5011

License Information

License Number (1)
8881
License State (1)
CT
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
8881
License State (2)
CT
Taxonomy (2)
Social Worker · 104100000X · 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 Krystina Jackson?

The NPI number of Krystina Jackson is 1649002569. It was assigned on August 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Krystina Jackson?

Krystina Jackson is registered under the primary taxonomy Social Worker (code 104100000X), licensed in CT under license number 8881.

Where does Krystina Jackson practice?

The practice location is 2911 Dixwell Ave Ste 301, Hamden, CT 06518-3130. The office can be reached at 203-843-5810 (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 1649002569 directly on the NPPES registry website.

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