MRS. BRANDI NICOLE JACKSON MSW NPI 1255793501

NPI Information

NPI: 1255793501
Provider Name: MRS. BRANDI NICOLE JACKSON, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
22505 WOODROE AVE
HAYWARD, CA
ZIP 94541
Phone: (510) 318-6112
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MRS. Brandi Nicole Jackson, MSW is a mental health counselor in Hayward, CA with 9 years of experience. MRS. Brandi Nicole Jackson, MSW NPI is 1255793501. 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:

22505 WOODROE AVE
HAYWARD, CA
ZIP 94541-410
Phone: (510) 318-6112

The NPI 1255793501 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/25/2016 and was last updated on 11/16/2023.

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	101YM0800X	Counselor	Mental Health	89088	CALIFORNIA	Yes

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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