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

JYLIAN ANN JACKSON, LMSW

Active Sole Proprietor

JYLIAN ANN JACKSON, LMSW is a Social Worker healthcare provider located in PORT JERVIS, New York. NPI 1982236022 is currently active in the NPPES registry. Verify at CMS.

Social Worker · PORT JERVIS, NY

Registration Details

NPI Number
1982236022
Provider Type
Individual
Gender
Female
NPI Issued
Feb 6, 2020 (6.332798885791 yrs)
Last Updated
Feb 19, 2025
Licenses
107538 (NY)
099243 (NY)
Sole Proprietor
Yes

Practice Information

Address
146 PIKE STREET OUTPATIENT CLINIC
PORT JERVIS, NY, 12771
Browse NY providers · Browse ZIP 12771
Phone
8458581456
Primary Specialty
Social Worker
104100000X
Additional Specialty
Clinical Social Worker

Other Social Worker Providers in PORT JERVIS, NY

Name Credential NPI
MS. FRANCES M GRIFFIN LCSW 1720076599
MR. STEPHEN DIAMOND LCSW 1780672154
MS. GLORIA D MUNZ LCSW 1326038050
ALYSSA DILEO 1184009342
CLARISE DENISE WILLIAMS 1184106361
DONNA ANN GOULETTE LICENSED 1487207189
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.