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CHRISTOPHER JACKSON
NPI 1003782095
Social Worker - Clinical in Richmond Hill, NY

Active since October 15, 2025
11711 MYRTLE AVE, RICHMOND HILL, NY 11418(718) 847-9233 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christopher Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER JACKSON (NPI 1003782095) is an individual clinical provider in Richmond Hill, New York and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1003782095
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHRISTOPHER JACKSON
Location Address11711 MYRTLE AVERichmond Hill, NY 11418-1751
Mailing Address1158 Nugent AveBay Shore, NY 11706-1340
Phone(718) 847-9233
Sole ProprietorYes
Enumeration DateOctober 15, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1003782095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11711 MYRTLE AVE, Richmond Hill, NY 11418
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAMIAN FAMILY CARE CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233
NANCY DIAZ
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
RADAMES ORTIZ
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
LINDA J WOODARD CASAC-2
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
ORA NUSBAUM
Counselor
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 849-6300
JOHN VENZA LCSW-R
Social Worker (Clinical)
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233
MR. STEVE RIAD RAHAMAN LMSW
Social Worker
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233
ALEXIS GADSDEN CASAC
Counselor (Addiction (Substance Use Disorder))
11711 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 847-9233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Jackson's NPI number?

The NPI number for Christopher Jackson is 1003782095. It was assigned to this individual provider in the NPPES registry on October 15, 2025.

Where is Christopher Jackson located?

Christopher Jackson practices at 11711 Myrtle Ave, Richmond Hill, NY 11418. The listed phone number is (718) 847-9233.

What is Christopher Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Christopher Jackson was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.