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JERROLD JACKSON LMSW NPI 1659530053


NPI Information

NPI: 1659530053
Provider Name: JERROLD JACKSON, LMSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
ONE GUSTAVE L LEVY PLACE
BOX 1230 - MOUNT SINAI HOSPITAL
NEW YORK, NY
ZIP 10029
Phone: (212) 241-6800
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Jerrold Jackson, LMSW is a clinical social worker in New York, NY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Jerrold Jackson, LMSW NPI is 1659530053. 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:

ONE GUSTAVE L LEVY PLACE
BOX 1230 - MOUNT SINAI HOSPITAL
NEW YORK, NY
ZIP 10029-574
Phone: (212) 241-6800

The enumeration date for this NPI number is 6/2/2008 and was last updated on 12/5/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalP63960NEW YORKNo
21041C0700XSocial WorkerClinical077257NEW YORKYes

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: 11/14/2023

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