Erin Jackson, LCSW
Social Worker, Clinical in Westport, CT. Individual provider (NPI-1).
NPI number1083171995
StatusActive
Last updated in NPPESJul 9, 2025
Details
- NPI
- 1083171995
- Entity type
- Individual (NPI-1)
- Name
- Erin Jackson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2019
- Certification date
- Jul 9, 2025
- Last updated
- Jul 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10532 | CT | Yes |
| 1041C0700X | Social Worker, Clinical | 149.025913 | IL |
Practice location
500 Post Rd E # 265Westport, CT 06880-4431
Phone 212-203-1773 · Fax 646-665-4427
Mailing address
114 Woodside Grn Apt 1bStamford, CT 06905-4913
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