MR. CASEY JACKSON MSW LICSW NPI 1295943496

NPI Information

NPI: 1295943496
Provider Name: MR. CASEY JACKSON, MSW, LICSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1124 W RIVERSIDE AVE
SUITE LL2
SPOKANE, WA
ZIP 99201
Phone: (509) 981-9851
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MR. Casey Jackson, MSW, LICSW is an addiction (substance use disorder) counselor in Spokane, WA. MR. Casey Jackson, MSW, LICSW NPI is 1295943496. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1124 W RIVERSIDE AVE
SUITE LL2
SPOKANE, WA
ZIP 99201-132
Phone: (509) 981-9851

The enumeration date for this NPI number is 5/19/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP00001054	WASHINGTON	Yes
2	1041C0700X	Social Worker	Clinical	LW00004476	WASHINGTON	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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