Individual provider · Type 1 NPI
Christopher Jackson
Clinical Social Worker · Richmond Hill, NY
Practice location
11711 Myrtle Ave
Richmond Hill, NY 11418-1751
Mailing address
1158 Nugent Ave
Bay Shore, NY 11706-1340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
Clinical Social Worker: 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 interpers…
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About NPI 1003782095
Christopher Jackson's National Provider Identifier is 1003782095, issued on Oct 15, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond Hill, NY. The record was last updated on Oct 24, 2025.