NPI 1104097948 ELLEN JACKSON, LCSW, LLC FALMOUTH ME. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Ellen Jackson, Lcsw, Llc - NPI: 1104097948

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: ELLEN JACKSON, LCSW, LLC
NPI Number: 1104097948
Entity Type Code: Organizational (2)
Authorized Official Name: ELLEN M. R. JACKSON
(OWNER)
Mailing Address: 3 Fundy Road Suite Two
Falmouth
State: ME US
Postal Code: 041051796
Phone Number: 2077809966
Fax Number: 2077809966
NPI Enumeration Date: 03/20/2008
NPI Last Update Date: 03/20/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1041C0700X
License Number: LC1392 ME
Healthcare Provider Taxonomy:
(Secondary)
Y
State: ME
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Social Worker
Taxonomy Specialization: Clinical
Taxonomy Definition:
A social worker who holds a master


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