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CHRYSTINA JACKSON LMSW
NPI 1548867013
Social Worker in Bohemia, NY

Active since October 07, 2020
80 ORVILLE DR, BOHEMIA, NY 11716(631) 456-3844 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chrystina Jackson Lmsw NPPES

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

CHRYSTINA JACKSON LMSW (NPI 1548867013) is an individual social worker in Bohemia, New York, licensed in New York (106720) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1548867013
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCHRYSTINA JACKSONCredential: LMSW
Location Address80 ORVILLE DRBohemia, NY 11716-2534
Mailing AddressPo Box 321Copiague, NY 11726-0321 · (631) 991-1056
Phone(631) 456-3844
Sole ProprietorYes
Enumeration DateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1548867013 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 · 106720
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.
80 ORVILLE DR, Bohemia, NY 11716
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Other Providers at the Same Location NPPES 2

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

NATIONAL BRACE INC.
Prosthetic/Orthotic Supplier
80 ORVILLE DR, STE 100
BOHEMIA, NY 11716
Suffolk County (516) 680-0433
QIANA HOBDY
Social Worker
80 ORVILLE DR
BOHEMIA, NY 11716
Suffolk County (917) 701-1892

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 Chrystina Jackson's NPI number?

The NPI number for Chrystina Jackson is 1548867013. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Chrystina Jackson located?

Chrystina Jackson practices at 80 Orville Dr, Bohemia, NY 11716. The listed phone number is (631) 456-3844.

What is Chrystina 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 Chrystina Jackson was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.