Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORA JACKSON, LMSW
Active Sole ProprietorCORA JACKSON, LMSW is a Social Worker healthcare provider located in PINE PLAINS, New York. NPI 1649058793 is currently active in the NPPES registry. Verify at CMS.
Social Worker · PINE PLAINS, NY
Registration Details
- NPI Number
- 1649058793
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2023 (2.7202525114786 yrs)
- Last Updated
- Sep 19, 2023
- License
-
115055 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
65 POPLAR AVEPINE PLAINS, NY, 125675533Browse NY providers · Browse ZIP 12567
- Phone
- 5185673532
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in PINE PLAINS, NY
| Name | Credential | NPI |
|---|---|---|
| EMILY JUSTINE SULLIVAN | MSW | 1902581234 |
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.