| Doctor Name: | MS. DAPHNE LYNN JAKSTIS |
| NPI Number: | 1962500744 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 112160 |
| Business Practice Address: | 3088 Cranberry Hwy East Wareham, MA - 025384800 |
| Business Phone Number: | 5082957990 |
| Business Fax Number: | 5082953781 |
| Mailing Address: | 841 Sandwich Rd, EAST FALMOUTH |
| State: | MA |
| Postal Code: | 025364022 |
| Phone Number: | 5082743831 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 04/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 112160 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |