Search › New York › Clinical Social Worker
Laurie Jackson, LCSW R
NPI 1104907187 · on the registry since 2006 · sole proprietor
Practice
- Address
- 9745 Queens Blvd Ph Floor
Rego Park, NY 11374 - Phone
- (718) 896-9090
- Fax
- (718) 830-0724
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
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