Nija Lanette Jackson, LCSW
Social Worker, Clinical in Brooklyn, NY. Individual provider (NPI-1).
NPI number1376791699
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1376791699
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nija Lanette Jackson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2008
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 093347 | NY | Yes |
Practice location
180 Livingston StSuite #306
Brooklyn, NY 11201-5861
Phone 718-625-4055 · Fax 718-228-7829
Mailing address
181 Main St # 11743Huntington, NY 11743-6918
Phone 631-335-3584
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