Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMONIQUE JACKSON, LCSW
ActiveDOMONIQUE JACKSON, LCSW is a Clinical Social Worker healthcare provider located in ORANGE PARK, Florida. NPI 1063950731 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ORANGE PARK, FL
Registration Details
- NPI Number
- 1063950731
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2017 (9.3463630084558 yrs)
- Last Updated
- Jun 25, 2020
Practice Information
- Address
-
752 BLANDING BLVD STE 130ORANGE PARK, FL, 320655790Browse FL providers · Browse ZIP 32065
- Phone
- 9046375297
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in ORANGE PARK, FL
| Name | Credential | NPI |
|---|---|---|
| MR. IRA GRANN | LCSW | 1114911443 |
| MRS. SUSAN M SHEPHERD | LCSW | 1154303410 |
| DR. GEORGE HOSKINS | MSW | 1417929258 |
| PAULA A KIRCHER | LCSW | 1760419352 |
| MRS. WILEEN LORETTA VANDENOEVER | LICSW | 1679503742 |
| ELIZABETH DOWELL PASCOE | LCSW | 1003846114 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.