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MRS. ROBERTA MARIE JACKSON LCSW CASAC-T NPI 1760013353


NPI Information

NPI: 1760013353
Provider Name: MRS. ROBERTA MARIE JACKSON, LCSW CASAC-T
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
123 W 124TH ST
NEW YORK, NY
ZIP 10027
Phone: (347) 239-3061
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MRS. Roberta Marie Jackson, LCSW CASAC-T 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. MRS. Roberta Marie Jackson, LCSW CASAC-T NPI is 1760013353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

123 W 124TH ST
NEW YORK, NY
ZIP 10027-920
Phone: (347) 239-3061

The enumeration date for this NPI number is 1/31/2020 and was last updated on 1/31/2020.


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 WorkerClinical088300NEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.