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Search › New York › Clinical Social Worker

Christopher Jackson

NPI 1003782095 · on the registry since 2025 · sole proprietor

Practice

Address
11711 Myrtle Ave
Richmond Hill, NY 11418
Phone
(718) 847-9233
Organisation at this address
Outreach Development Corporation
Damian Family Care Centers, Inc.
Outreach Development Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-24

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