SearchNew York1041C0700X

Elisabeth Jackson, PH.D. LCSW-R

NPI 1407114150 · on the registry since 2012 · sole proprietor

Practice

Address
1 Pierpont Plaza
Suite 12134
Brooklyn, NY 11246
Phone
(866) 650-2676
Fax
(212) 591-6091

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-04-16

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