Leslie J Jackson, LCSW
Social Worker, Clinical in Brooklyn, NY. Individual provider (NPI-1).
NPI number1669900239
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1669900239
- Entity type
- Individual (NPI-1)
- Name
- Ms. Leslie J Jackson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 084870 | NY | Yes |
Other names
- Leslie J Kahn (Former Name)
Practice location
650 Fulton StBrooklyn, NY 11217-1517
Phone 718-834-5900
Mailing address
650 Fulton StBrooklyn, NY 11217-1517
Phone 718-596-9800 · Fax 718-596-9889
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