Justin Jackson
Social Worker in Northampton, MA. Individual provider (NPI-1).
NPI number1124476569
StatusActive
Last updated in NPPESMay 26, 2016
Details
- NPI
- 1124476569
- Entity type
- Individual (NPI-1)
- Name
- Justin Jackson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2016
- Last updated
- May 26, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
8 Atwood Dr Ste 301Northampton, MA 01060-4266
Phone 413-773-1314
Mailing address
8 Atwood Dr Ste 301Northampton, MA 01060-4266
Phone 413-773-1314
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 95 Social Worker providers in Northampton · All 2,145 providers in Northampton
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