Search › New York › 1041C0700X
Roberta Jackson, LCSW CASAC-II
NPI 1760013353 · on the registry since 2020
Practice
- Address
- 105 W 125th St
Front 1 #1042
New York, NY 10027 - Phone
- (347) 654-4405
- Fax
- (646) 759-4019
- Organisation at this address
- Crayton Consulting Llc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-30
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