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

ELISSARH JACKSON

Active

ELISSARH JACKSON is a Social Worker healthcare provider located in DREXEL HILL, Pennsylvania. NPI 1891979100 is currently active in the NPPES registry. Verify at CMS.

Social Worker · DREXEL HILL, PA

Registration Details

NPI Number
1891979100
Provider Type
Individual
Gender
Female
NPI Issued
Dec 21, 2007 (18.608320724396 yrs)
Last Updated
Dec 21, 2007
License
SW123806 (PA)

Practice Information

Address
3300 TOWNSHIP LINE RD STE 102
DREXEL HILL, PA, 190261925
Browse PA providers · Browse ZIP 19026
Phone
6108539919
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in DREXEL HILL, PA

Name Credential NPI
MR. ROLAND E SHELTON JR. MSW 1811103328
MR. DAVID BRUCE SIMPSON MSW, LCSW, C-ASWCM 1659538015
MISS CATHERINE PACZKOWSKI MSW, LSW 1932344421
MRS. CLAIRE TARVES MARTIN LSW 1528293560
TIFFINI ALSTON MSW, LSW 1508281734
MR. HAROLD GORDON MSW 1710381959
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.