Carroll Jackson, L.I.S.W

NPI 1184097842 · on the registry since 2015

Practice

Address: 4130 Linden Ave
Suite 250
Dayton, OH 45432
Phone: (937) 681-9644
Organisation at this address: Blk Fleet
One Choice Away
Elevare Oh, Llc
Rogan Crosby Llc
The Friend Agency
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 64

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-12-11

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 Ohio