Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JEANETTE JACKSON, LCSW
Active Sole ProprietorMRS. JEANETTE JACKSON, LCSW is a Clinical Social Worker healthcare provider located in BRISTOL, Florida. NPI 1407019797 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BRISTOL, FL
Registration Details
- NPI Number
- 1407019797
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2008 (17.920129762624 yrs)
- Last Updated
- Jul 7, 2008
- License
-
SW6714 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12422 NW G T REVELL RDBRISTOL, FL, 323213007Browse FL providers · Browse ZIP 32321
- Phone
- 8506434600
- Fax
- 8506432061
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BRISTOL, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. CHARLOTTE H SHULER | MSW, LCSW | 1184839110 |
| ELIZABETH STEPHANIE HOFRICHTER | LCSW | 1417191107 |
| MRS. WINTER COLLINS | LCSW | 1538573423 |
| CHRISTOPHER BERNARD ANDERSON | MSW | 1265919153 |
| DAMIEN BENTLEY | — | 1528606233 |
| IVAN RICARDO LOPEZ | LCSW | 1164058756 |
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.