Individual provider · Type 1 NPI

Jackson Gray Herz

Clinical Social Worker · New York, NY

NPI number 1740119486 Active

Practice location

113 E 60th St
New York, NY 10022-1939

Call (917) 675-2134 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X40768 (NY)
Clinical Social Worker Primary 1041C0700X127734 (NY)

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 1740119486

Jackson Gray Herz's National Provider Identifier is 1740119486, issued on May 18, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on May 18, 2026.