COURTNEY JACKSON LMSW NPI 1417679473

NPI Information

  • NPI: 1417679473
  • Provider Name: COURTNEY JACKSON, LMSW
  • Classification: Social Worker - 1041S0200X
  • Specialization: School
  • Entity Type: Individual
  • Address: 4115 LAKE AVE
    ROCHESTER, NY
    ZIP 14612
  • Phone: (585) 324-9273

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NPI Details

Courtney Jackson, LMSW is a school social worker in Rochester, NY. Courtney Jackson, LMSW NPI is 1417679473. 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:

4115 LAKE AVE
ROCHESTER, NY
ZIP 14612-813
Phone: (585) 324-9273

The enumeration date for this NPI number is 9/16/2022 and was last updated on 9/16/2022.

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
1104100000XSocial Worker109152-01NEW YORKNo
21041C0700XSocial WorkerClinical109152-01NEW YORKNo
31041S0200XSocial WorkerSchool109152-01NEW 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: 11/21/2025

NPI Synchronization or Removal

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