SearchNew York104100000X

Susan Jackson, LMSW

NPI 1487064986 · on the registry since 2014 · sole proprietor

Practice

Address
425 W 48th St
4k
New York, NY 10036
Phone
(646) 342-4595

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
2014-05-06

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