Active NPIIndividual provider

Mr. Donald J Jackson, LICSW

Social Worker, Clinical in Chepachet, Rhode Island

NPI Number1811185721
Practice location
63 Harmony Hill RD, Chepachet, RI 02814-1429
Fax
401-949-2060
Last updated
October 5, 2007

Donald John Jackson is a Social Worker, Clinical based in Chepachet, RI. Donald John Jackson practices in Chepachet, RI and has the professional credentials of LICSW. The NPI Number for Donald John Jackson is 1811185721 and holds a License No. ISW00561 (RI). The current practice location address for Donald John Jackson is 63 Harmony Hill RD, Chepachet, RI 02814-1429 and can be reached out via phone at 401-949-0690 and via fax at 401-949-2060.

Provider Profile Details

NPI Number
1811185721
Provider Name
Donald John Jackson
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
63 Harmony Hill RD, Chepachet, RI 02814-1429
Phone Number
401-949-0690
Fax Number
401-949-2060
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 5, 2007
Last Update Date
October 5, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Harmony Hill RD
Chepachet, RI 02814-1429
Zip
02814-1429
Phone Number
401-949-0690
Fax Number
401-949-2060
Chepachet, RI 02814Get directions →

Provider Business Mailing Address Details

Address
63 Harmony Hill RD
Chepachet, RI 02814-1429
City
Chepachet
State
RI
Zip
02814-1429
Phone Number
401-949-0690
Fax Number
401-949-2060

License Information

License Number
ISW00561
License State
RI
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 Mr. Donald J Jackson, LICSW?

The NPI number of Mr. Donald J Jackson, LICSW is 1811185721. It was assigned on October 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Donald J Jackson, LICSW?

Mr. Donald J Jackson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW00561.

Where does Mr. Donald J Jackson, LICSW practice?

The practice location is 63 Harmony Hill RD, Chepachet, RI 02814-1429. The office can be reached at 401-949-0690 (phone) or 401-949-2060 (fax).

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 1811185721 directly on the NPPES registry website.

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