Active NPIIndividual providerSole proprietor

Mrs. Jill J Jackson, MSW LICSW

Social Worker, Clinical in Wenham, Massachusetts

NPI Number1740320506
Practice location
225 Main St, Wenham, MA 01984-1459
Fax
—
Last updated
July 8, 2007

Jill J. Jackson is a Social Worker, Clinical based in Wenham, MA. Jill J. Jackson practices in Wenham, MA and has the professional credentials of MSW LICSW. The NPI Number for Jill J. Jackson is 1740320506 and holds a License No. 105403 (MA). The current practice location address for Jill J. Jackson is 225 Main St, Wenham, MA 01984-1459 and can be reached out via phone at 978-468-1894.

Provider Profile Details

NPI Number
1740320506
Provider Name
Jill J. Jackson
Credential
MSW LICSW
Provider Entity Type
Individual
Gender
Female
Address
225 Main St, Wenham, MA 01984-1459
Phone Number
978-468-1894
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 8, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Main St
Wenham, MA 01984-1459
City
Wenham
Zip
01984-1459
Phone Number
978-468-1894
Wenham, MA 01984Get directions →

Provider Business Mailing Address Details

Address
225 Main St
Wenham, MA 01984-1459
City
Wenham
State
MA
Zip
01984-1459
Phone Number
978-468-1894

License Information

License Number
105403
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 Mrs. Jill J Jackson, MSW LICSW?

The NPI number of Mrs. Jill J Jackson, MSW LICSW is 1740320506. It was assigned on February 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jill J Jackson, MSW LICSW?

Mrs. Jill J Jackson, MSW LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105403.

Where does Mrs. Jill J Jackson, MSW LICSW practice?

The practice location is 225 Main St, Wenham, MA 01984-1459. The office can be reached at 978-468-1894 (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 1740320506 directly on the NPPES registry website.

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