STEPHANIE JACKMAN LMSW NPI 1679721468

NPI Information

  • NPI: 1679721468
  • Provider Name: STEPHANIE JACKMAN, LMSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 360 WELLINGTON AVE
    ROCHESTER, NY
    ZIP 14619
  • Phone: (585) 802-7004

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NPI Details

Stephanie Jackman, LMSW is a mental health counselor in Rochester, NY. Stephanie Jackman, LMSW NPI is 1679721468. 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:

360 WELLINGTON AVE
ROCHESTER, NY
ZIP 14619-210
Phone: (585) 802-7004

The NPI 1679721468 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 9/4/2008 and was last updated on 10/28/2011.

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
1101YM0800XCounselorMental Health078781NEW 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

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