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JACKIE SMALL MA, LPC, CLC
NPI 1093115974
Counselor - Professional in Westport, CT

Active since August 28, 2014
1 TURKEY HILL RD S, SUITE 2L, WESTPORT, CT 06880(646) 246-7379 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Small Ma, Lpc, Clc NPPES

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

JACKIE SMALL MA, LPC, CLC (NPI 1093115974) is an individual professional provider in Westport, Connecticut, licensed in Connecticut (3158) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1093115974
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACKIE SMALLCredential: MA, LPC, CLC
Location Address1 TURKEY HILL RD S, SUITE 2LWestport, CT 06880-5525
Mailing Address1 Turkey Hill Rd S, Suite 2lWestport, CT 06880-5525
Phone(646) 246-7379
Sole ProprietorYes
Enumeration DateAugust 28, 2014
Last NPPES UpdateMarch 31, 2017
✔ NPI 1093115974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 3158
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License ALPP-203587 (CT)
1 TURKEY HILL RD S, Westport, CT 06880
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Other Providers at the Same Location NPPES 5

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

FRANK MILTON SAFRAN PH.D.
Psychologist (Clinical)
1 TURKEY HILL RD S
WESTPORT, CT 06880
Western Connecticut Planning Region (203) 221-4707
SUSAN STENECK PHD
Psychologist (Clinical)
1 TURKEY HILL RD S
WESTPORT, CT 06880
Western Connecticut Planning Region (203) 722-4077
DR. PAMELA KATE MASKARA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1 TURKEY HILL RD S
WESTPORT, CT 06880
Western Connecticut Planning Region (203) 227-7530
ARIANE NICOLE LADD MA
Marriage & Family Therapist
1 TURKEY HILL RD S
WESTPORT, CT 06880
Western Connecticut Planning Region (203) 807-6572
DR. KAREN J HOTCHKISS M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1 TURKEY HILL RD S
WESTPORT, CT 06880
Western Connecticut Planning Region (203) 240-3323

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 Jackie Small's NPI number?

The NPI number for Jackie Small is 1093115974. It was assigned to this individual provider in the NPPES registry on August 28, 2014.

Where is Jackie Small located?

Jackie Small practices at 1 Turkey Hill Rd S Suite 2L, Westport, CT 06880. The listed phone number is (646) 246-7379.

What is Jackie Small's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jackie Small was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.