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ELLEN JACKSON, LCSW, LLC
NPI 1104097948
Social Worker - Clinical in Falmouth, ME

Active since March 20, 2008
3 FUNDY ROAD, SUITE TWO, FALMOUTH, ME 04105(207) 780-9966(207) 780-9966 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Jackson, Lcsw, Llc NPPES

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

ELLEN JACKSON, LCSW, LLC (NPI 1104097948) is a healthcare organization registered as a clinical in Falmouth, Maine and active in the NPI registry since March 2008. The organization lists Ellen M. R. Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1104097948
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameELLEN JACKSON, LCSW, LLC
Location Address3 FUNDY ROAD, SUITE TWOFalmouth, ME 04105-1796
Mailing Address3 Fundy Road, Suite TwoFalmouth, ME 04105-1796 · (207) 780-9966 · Fax (207) 780-9966
Phone(207) 780-9966
Fax(207) 780-9966
Organization SubpartNo
Authorized OfficialEllen M. R. JacksonOwner · (207) 780-9966
Enumeration DateMarch 20, 2008
✔ NPI 1104097948 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 ME · LC1392 ME
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.
3 FUNDY ROAD, Falmouth, ME 04105
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Ellen Jackson, Lcsw, LLC's NPI number?

The NPI number for Ellen Jackson, Lcsw, LLC is 1104097948. It was assigned to this organization in the NPPES registry on March 20, 2008.

Where is Ellen Jackson, Lcsw, LLC located?

Ellen Jackson, Lcsw, LLC is located at 3 Fundy Road Suite Two, Falmouth, ME 04105. The listed phone number is (207) 780-9966.

What is Ellen Jackson, Lcsw, LLC'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 Ellen Jackson, Lcsw, LLC was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.