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MS. AWILDA JACKANIN LCSW
NPI 1508889346
Social Worker - Clinical in New York, NY

Active since July 25, 2006
111 EAST 59TH STREET, LIGHTHOUSE INTERNATIONAL, NEW YORK, NY 10022(212) 821-9239(212) 821-9710 Get Directions Write a Review

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

About Ms. Awilda Jackanin Lcsw NPPES

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

MS. AWILDA JACKANIN LCSW (NPI 1508889346) is an individual clinical provider in New York, New York, licensed in New York (R057061) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1508889346
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. AWILDA JACKANINCredential: LCSW
Location Address111 EAST 59TH STREET, LIGHTHOUSE INTERNATIONALNew York, NY 10022-1202
Mailing AddressLighthouse International 111 East 59th StreetNew York, NY 10022-1202 · (212) 821-9239 · Fax (212) 821-9710
Phone(212) 821-9239
Fax(212) 821-9710
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508889346 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 · R057061
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.
111 EAST 59TH STREET, New York, NY 10022
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Other Identifiers 1

Medicare ID-Type UnspecifiedAJ0N7K5510NY · Medicare Provider Number

Other Providers at the Same Location NPPES

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

MRS. MARA MERVIUS MSORT/L
Occupational Therapist
111 EAST 59TH STREET
NEW YORK, NY 10022
New York County (917) 474-1172

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 Awilda Jackanin's NPI number?

The NPI number for Awilda Jackanin is 1508889346. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Awilda Jackanin located?

Awilda Jackanin practices at 111 East 59th Street Lighthouse International, New York, NY 10022. The listed phone number is (212) 821-9239.

What is Awilda Jackanin'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 Awilda Jackanin 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.