Individual provider · Type 1 NPI

Chance Jackson, LMSW

Social Worker · New Haven, CT

NPI number 1700761236 Active

Practice location

197 Dixwell Ave
New Haven, CT 06511-3470

Call (203) 500-2147 Map

Mailing address

169 Fountain St Apt C3
New Haven, CT 06515-1931

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000XNone listed

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1700761236

Chance Jackson, LMSW's National Provider Identifier is 1700761236, issued on Aug 5, 2025. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in New Haven, CT. The record was last updated on Aug 5, 2025.