SearchNew York104100000X

Alicia Jackson, LMSW

NPI 1003645052 · on the registry since 2024 · sole proprietor

Practice

Address
61 Malta St Apt 4a
Brooklyn, NY 11207
Phone
(917) 753-5895

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York