Active NPIIndividual providerSole proprietor

Ms. Sherry Jackson, LICSW

Social Worker, Clinical in Wakefield, Rhode Island

NPI Number1710460100
Practice location
108 Camp Fuller RD, Wakefield, RI 02879-4500
Fax
—
Last updated
September 11, 2018

Sherry Jackson is a Social Worker, Clinical based in Wakefield, RI. Sherry Jackson practices in Wakefield, RI and has the professional credentials of LICSW. The NPI Number for Sherry Jackson is 1710460100 and holds a License No. 113080 (MA). The current practice location address for Sherry Jackson is 108 Camp Fuller RD, Wakefield, RI 02879-4500 and can be reached out via phone at 401-633-2682.

Provider Profile Details

NPI Number
1710460100
Provider Name
Sherry Jackson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
108 Camp Fuller RD, Wakefield, RI 02879-4500
Phone Number
401-633-2682
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 11, 2018
Last Update Date
September 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
108 Camp Fuller RD
Wakefield, RI 02879-4500
Zip
02879-4500
Phone Number
401-633-2682
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
108 Camp Fuller RD
Wakefield, RI 02879-4500
City
Wakefield
State
RI
Zip
02879-4500
Phone Number
401-633-2682

License Information

License Number
113080
License State
MA
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 Ms. Sherry Jackson, LICSW?

The NPI number of Ms. Sherry Jackson, LICSW is 1710460100. It was assigned on September 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Sherry Jackson, LICSW?

Ms. Sherry Jackson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113080.

Where does Ms. Sherry Jackson, LICSW practice?

The practice location is 108 Camp Fuller RD, Wakefield, RI 02879-4500. The office can be reached at 401-633-2682 (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 1710460100 directly on the NPPES registry website.

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