Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEANU MALIQ JACKSON, LCSW
Active Sole ProprietorKEANU MALIQ JACKSON, LCSW is a Social Worker healthcare provider located in BROOKLYN, New York. NPI 1740807411 is currently active in the NPPES registry. Verify at CMS.
Social Worker · BROOKLYN, NY
Registration Details
- NPI Number
- 1740807411
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2020 (6.122405404417 yrs)
- Last Updated
- Mar 17, 2025
- License
-
096448 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
836 BERGEN ST APT 112BROOKLYN, NY, 112387455Browse NY providers · Browse ZIP 11238
- Phone
- 7728348567
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in BROOKLYN, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. JUDITH GENTILE | MSW | 1811971955 |
| MS. NICOLETTA PALLOTTA | LCSW | 1841270378 |
| GALINA ALEXANDROVA | LCSW | 1972571917 |
| RACHEL RUHAMA LUBLING | LCSW | 1033187935 |
| LYNNE GOLDSTEIN | LCSW | 1821057092 |
| ADELE LEW KATZENELENBOGEN | LCSW | 1619936887 |
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.