MS. AWILDA JACKANIN LCSW NPI 1508889346

NPI Information

  • NPI: 1508889346
  • Provider Name: MS. AWILDA JACKANIN, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 111 EAST 59TH STREET
    LIGHTHOUSE INTERNATIONAL
    NEW YORK, NY
    ZIP 10022
  • Phone: (212) 821-9239

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NPI Details

MS. Awilda Jackanin, LCSW 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. MS. Awilda Jackanin, LCSW NPI is 1508889346. 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:

111 EAST 59TH STREET
LIGHTHOUSE INTERNATIONAL
NEW YORK, NY
ZIP 10022-202
Phone: (212) 821-9239
Fax: (212) 821-9710

The enumeration date for this NPI number is 7/25/2006 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
11041C0700XSocial WorkerClinicalR057061NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AJ0N7K5510MEDICARE ID-TYPE UNSPECIFIEDNEW YORKMEDICARE PROVIDER NUMBER

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

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