TINA JACKSON LCSW NPI 1376968172

NPI Information

NPI: 1376968172
Provider Name: TINA JACKSON, LCSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
280 1ST ST BLDG 23
HOLLOMAN AFB, NM
ZIP 88330
Phone: (575) 572-5676
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Tina Jackson, LCSW is a social worker in Holloman Afb, NM. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Tina Jackson, LCSW NPI is 1376968172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

280 1ST ST BLDG 23
HOLLOMAN AFB, NM
ZIP 88330-273
Phone: (575) 572-5676
Fax: (575) 572-1523

The enumeration date for this NPI number is 3/3/2014 and was last updated on 7/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		4950	NORTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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