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THEODORE JACKSON
NPI 1346799830
Social Worker in Syracuse, NY

Active since September 26, 2016
1045 JAMES ST, SYRACUSE, NY 13203(315) 472-4471(315) 472-1759 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore Jackson NPPES

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

THEODORE JACKSON (NPI 1346799830) is an individual social worker in Syracuse, New York, licensed in New York (098808) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1346799830
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameTHEODORE JACKSON
Location Address1045 JAMES STSyracuse, NY 13203-2730
Mailing Address1045 James StSyracuse, NY 13203-2730 · (315) 472-4471 · Fax (315) 472-1759
Phone(315) 472-4471
Fax(315) 472-1759
Sole ProprietorYes
Enumeration DateSeptember 26, 2016
✔ NPI 1346799830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 098808
Definition
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.
1045 JAMES ST, Syracuse, NY 13203
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Other Providers at the Same Location NPPES 20

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

ANDREA ROSA VERGARA LCSW
Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 472-4471
PATRICE KELSEY JEAN M.S., CF-SLP
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
ALIDA ANNE DEJONG NP
Nurse Practitioner (Family)
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 472-4471
LAURA ZAFERAKIS M.S., SPEC.ED.
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
EMILY DOREY LPN
Licensed Practical Nurse
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 413-7865
MS. BRYNNA ROSE TOMASSONE M.S.
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
MRS. ALEXANDRA RENEE CHURCH LMSW
Social Worker
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
MRS. LINDSEY WEBSTER LCSW
Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203
Onondaga County (315) 472-4471

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 Theodore Jackson's NPI number?

The NPI number for Theodore Jackson is 1346799830. It was assigned to this individual provider in the NPPES registry on September 26, 2016.

Where is Theodore Jackson located?

Theodore Jackson practices at 1045 James St, Syracuse, NY 13203. The listed phone number is (315) 472-4471.

What is Theodore Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Theodore Jackson was last updated on September 26, 2016. 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.