ALICIA CAROL JACKSON 01/31/05
NPI 1376622217
Social Worker - Clinical in Brooklyn, NY

Active since November 02, 2006
2094 PITKIN AVE, BROOKLYN, NY 11207(718) 240-0602(718) 240-0601 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alicia Carol Jackson 01/31/05 NPPES

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

ALICIA CAROL JACKSON 01/31/05 (NPI 1376622217) is an individual clinical provider in Brooklyn, New York, licensed in New York (069227-1) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1376622217
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALICIA CAROL JACKSONCredential: 01/31/05
Location Address2094 PITKIN AVEBrooklyn, NY 11207-3509
Mailing Address3520 24th St, Apt. 6fLong Island City, NY 11106-4470 · (718) 706-8097
Fax(718) 240-0601
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1376622217 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 · 069227-1
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.
2094 PITKIN AVE, Brooklyn, NY 11207

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.

Internal Medicine
2094 PITKIN AVE
BROOKLYN, NY 11207
Social Worker (Clinical)
2094 PITKIN AVE
BROOKLYN, NY 11207
Pediatrics
2094 PITKIN AVE, EAST NEW YORK DIAGNOSTIC & TREATMENT CENTER
BROOKLYN, NY 11207
Social Worker
2094 PITKIN AVE
BROOKLYN, NY 11207
Internal Medicine
2094 PITKIN AVE
BROOKLYN, NY 11207
Nurse Practitioner (Adult Health)
2094 PITKIN AVE
BROOKLYN, NY 11207
Nurse Practitioner (Family)
2094 PITKIN AVE
BROOKLYN, NY 11207
Registered Nurse (General Practice)
2094 PITKIN AVE
BROOKLYN, NY 11207

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 Alicia Jackson's NPI number?

The NPI number for Alicia Jackson is 1376622217. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Alicia Jackson located?

Alicia Jackson practices at 2094 Pitkin Ave, Brooklyn, NY 11207. The listed phone number is (718) 240-0602.

What is Alicia 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 Alicia Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.