Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FRED SACKLOW, LCSW
Active Sole ProprietorMR. FRED SACKLOW, LCSW is a Clinical Social Worker healthcare provider located in JACKSONVILLE, Florida. NPI 1619968716 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1619968716
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 30, 2005 (20.604854200375 yrs)
- Last Updated
- Jun 20, 2018
- Licenses
-
R02529-1 (NY)SW14596 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6950 PHILIPS HWY STE 11JACKSONVILLE, FL, 32216Browse FL providers · Browse ZIP 32216
- Phone
- 9042393677
- Fax
- 9048664029
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. LYNDA R. MANCE | L.C.S.W., CEAP, SAP | 1730182940 |
| MS. KATHERINE ANN LEMASTER | LCSW, RN | 1023015062 |
| BETH B PAGE | LCSW | 1538157375 |
| KAREN ANN AVESATO | LCSW | 1588653984 |
| VICTORIA MANUEL | LCSW | 1477543114 |
| RHONDA A HYLTON | LCSW | 1386627289 |
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.