Robert D Jackson
Social Worker, Clinical in Lyons, New Jersey
1881003655- Practice location
- 151 Knollcroft RD # 116D, Lyons, NJ 07939-5001
- Phone
- 908-647-0180
- Fax
- 908-604-5836
- Last updated
- August 6, 2014
Robert Donald Jackson is a Social Worker, Clinical based in Lyons, NJ. Robert Donald Jackson practices in Lyons, NJ. The NPI Number for Robert Donald Jackson is 1881003655 and holds a License No. 059696 (NY). The current practice location address for Robert Donald Jackson is 151 Knollcroft RD # 116D, Lyons, NJ 07939-5001 and can be reached out via phone at 908-647-0180 and via fax at 908-604-5836.
Provider Profile Details
- NPI Number
- 1881003655
- Provider Name
- Robert Donald Jackson
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 151 Knollcroft RD # 116D, Lyons, NJ 07939-5001
- Phone Number
- 908-647-0180
- Fax Number
- 908-604-5836
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 6, 2014
- Last Update Date
- August 6, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 151 Knollcroft RD # 116D
Lyons, NJ 07939-5001 - City
- Lyons
- State
- New Jersey
- Zip
- 07939-5001
- Phone Number
- 908-647-0180
- Fax Number
- 908-604-5836
Provider Business Mailing Address Details
- Address
- 151 Knollcroft RD # 116D
Lyons, NJ 07939-5001 - City
- Lyons
- State
- NJ
- Zip
- 07939-5001
- Phone Number
- 908-647-0180
- Fax Number
- 908-604-5836
License Information
- License Number
- 059696
- License State
- NY
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Lyons, NJ
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- Brian DeoliveiraSocial Worker, Clinical · NPI 1801458120
- Carly F DelimanSocial Worker, Clinical · NPI 1780434274
- Chad M Costello, LCSWSocial Worker, Clinical · NPI 1972965606
- Christina Sartain, MSW, LCSWSocial Worker, Clinical · NPI 1649367095
- Christopher Acker, LCSWSocial Worker, Clinical · NPI 1730518317
Frequently Asked Questions
What is the NPI number of Robert D Jackson?
The NPI number of Robert D Jackson is 1881003655. It was assigned on August 6, 2014 and is currently active in the NPPES registry.
What is the specialty of Robert D Jackson?
Robert D Jackson is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 059696.
Where does Robert D Jackson practice?
The practice location is 151 Knollcroft RD # 116D, Lyons, NJ 07939-5001. The office can be reached at 908-647-0180 (phone) or 908-604-5836 (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 1881003655 directly on the NPPES registry website.