Active NPIIndividual provider

Ericka Jackson

Social Worker, Clinical in Lyons, New Jersey

NPI Number1811303738
Practice location
151 Knollcroft RD, Bldg 53, Lyons, NJ 07939-5001
Fax
—
Last updated
September 20, 2021

Ericka Jackson is a Social Worker, Clinical based in Lyons, NJ. Ericka Jackson practices in Lyons, NJ. The NPI Number for Ericka Jackson is 1811303738 and holds a License No. 44SL05724500 (NJ). The current practice location address for Ericka Jackson is 151 Knollcroft RD, Bldg 53, Lyons, NJ 07939-5001 and can be reached out via phone at 908-647-0180.

Provider Profile Details

NPI Number
1811303738
Provider Name
Ericka Jackson
Provider Entity Type
Individual
Gender
Female
Address
151 Knollcroft RD, Bldg 53, Lyons, NJ 07939-5001
Phone Number
908-647-0180
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2014
Last Update Date
September 20, 2021
Certification Date
September 20, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Knollcroft RD
Bldg 53
Lyons, NJ 07939-5001
City
Lyons
Zip
07939-5001
Phone Number
908-647-0180
Lyons, NJ 07939Get directions →

Provider Business Mailing Address Details

Address
151 Knollcroft RD
Bldg 53
Lyons, NJ 07939-5001
City
Lyons
State
NJ
Zip
07939-5001
Phone Number
908-647-0180

License Information

License Number (1)
44SL05724500
License State (1)
NJ
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
44SC05716100
License State (2)
NJ
Taxonomy (2)
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 Ericka Jackson?

The NPI number of Ericka Jackson is 1811303738. It was assigned on July 11, 2014 and is currently active in the NPPES registry.

What is the specialty of Ericka Jackson?

Ericka Jackson is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL05724500.

Where does Ericka Jackson practice?

The practice location is 151 Knollcroft RD, Bldg 53, Lyons, NJ 07939-5001. The office can be reached at 908-647-0180 (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 1811303738 directly on the NPPES registry website.

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