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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHRYSTINA JACKSON, LMSW

Active Sole Proprietor

CHRYSTINA JACKSON, LMSW is a Social Worker healthcare provider located in BOHEMIA, New York. NPI 1548867013 is currently active in the NPPES registry. Verify at CMS.

Social Worker · BOHEMIA, NY

Registration Details

NPI Number
1548867013
Provider Type
Individual
Gender
Female
NPI Issued
Oct 7, 2020 (5.6682857337607 yrs)
Last Updated
Oct 7, 2020
License
106720 (NY)
Sole Proprietor
Yes

Practice Information

Address
80 ORVILLE DR
BOHEMIA, NY, 117162534
Browse NY providers · Browse ZIP 11716
Phone
6314563844
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in BOHEMIA, NY

Name Credential NPI
BROOKE DANIELS 1568840049
JACQUELINE MARY VOLPICELLA 1487112397
JACOB ZAMFT 1780297176
SHINELLE RAMKISSOON MSW 1710592159
QIANA HOBDY 1578160040
ANIKA JANSSEN LMSW 1134719271
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.