THERESA JACKLIN LCSW
NPI 1063820066
Social Worker - Clinical in Bellerose, NY

Active since July 23, 2014
8543 250TH ST, BELLEROSE, NY 11426(646) 201-1972 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Theresa Jacklin Lcsw NPPES

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

THERESA JACKLIN LCSW (NPI 1063820066) is an individual clinical provider in Bellerose, New York, licensed in New York (088299) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1063820066
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA JACKLINCredential: LCSW
Location Address8543 250TH STBellerose, NY 11426-2110
Mailing Address600 Community Dr Ste 400Manhasset, NY 11030-3818 · (646) 201-1972
Sole ProprietorNo
Enumeration DateJuly 23, 2014
Last NPPES UpdateFebruary 6, 2023
NPPES CertifiedFebruary 6, 2023
NPI 1063820066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 088299
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.
8543 250TH ST, Bellerose, NY 11426

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 Theresa Jacklin's NPI number?

The NPI number for Theresa Jacklin is 1063820066. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Theresa Jacklin located?

Theresa Jacklin practices at 8543 250th St, Bellerose, NY 11426. The listed phone number is (646) 201-1972.

What is Theresa Jacklin'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 Theresa Jacklin was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.