Active NPIIndividual provider

Miss Caitlin R Jackson, LCSW

Social Worker, Clinical in Harwich Port, Massachusetts

NPI Number1841963485
Practice location
2B Harold St, Harwich Port, MA 02646-1517
Fax
—
Last updated
July 29, 2021

Caitlin Rebecca Jackson is a Social Worker, Clinical based in Harwich Port, MA. Caitlin Rebecca Jackson practices in Harwich Port, MA and has the professional credentials of LCSW. The NPI Number for Caitlin Rebecca Jackson is 1841963485 and holds a License No. 220615 (MA). The current practice location address for Caitlin Rebecca Jackson is 2B Harold St, Harwich Port, MA 02646-1517 and can be reached out via phone at 508-418-8504.

Provider Profile Details

NPI Number
1841963485
Provider Name
Caitlin Rebecca Jackson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2B Harold St, Harwich Port, MA 02646-1517
Phone Number
508-418-8504
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2021
Last Update Date
July 29, 2021
Certification Date
July 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2B Harold St
Harwich Port, MA 02646-1517
Zip
02646-1517
Phone Number
508-418-8504
Harwich Port, MA 02646Get directions →

Provider Business Mailing Address Details

Address
6 Marigold Ln
Andover, MA 01810-4424
City
Andover
State
MA
Zip
01810-4424
Phone Number
339-999-6440

License Information

License Number
220615
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 Miss Caitlin R Jackson, LCSW?

The NPI number of Miss Caitlin R Jackson, LCSW is 1841963485. It was assigned on July 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Miss Caitlin R Jackson, LCSW?

Miss Caitlin R Jackson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 220615.

Where does Miss Caitlin R Jackson, LCSW practice?

The practice location is 2B Harold St, Harwich Port, MA 02646-1517. The office can be reached at 508-418-8504 (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 1841963485 directly on the NPPES registry website.

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