1. Home
  2. Directory
  3. New York
  4. Patchogue
  5. Social Worker
  6. NPI Profile

CRYSTAL JACKSON
NPI 1588211692
Social Worker in Patchogue, NY

Active since August 22, 2019
456 WAVERLY AVE, PATCHOGUE, NY 11772(631) 447-6460 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Jackson NPPES

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

CRYSTAL JACKSON (NPI 1588211692) is an individual social worker in Patchogue, New York and active in the NPI registry since August 2019. She maintains a secondary practice location in West Babylon.

NPPES Registry Identity

NPI1588211692
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCRYSTAL JACKSON
Location Address456 WAVERLY AVEPatchogue, NY 11772-1586
Mailing Address1 Route 109West Babylon, NY 11704-6207
Phone(631) 447-6460
Sole ProprietorNo
Enumeration DateAugust 22, 2019
✔ NPI 1588211692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
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.
456 WAVERLY AVE, Patchogue, NY 11772
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Route 109West Babylon, NY 11704-6207 · Phone (631) 669-5355

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.

SHANNON MIELE
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
KELLY L DEAN LCSW
Social Worker (Clinical)
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
SHERRILEE PARTISS LMSW
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
JAMIE LYN FLEMING LMSW
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
RISEWELL COMMUNITY SERVICES
Community/Behavioral Health
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
JENNIFER NEITHERCUT
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
MRS. MICHELE GRAZIANO F. GRAZIANO CASAC
Counselor (Addiction (Substance Use Disorder))
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 477-6460
ALYSON N HEIMANN
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460

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 Crystal Jackson's NPI number?

The NPI number for Crystal Jackson is 1588211692. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Crystal Jackson located?

Crystal Jackson practices at 456 Waverly Ave, Patchogue, NY 11772. The listed phone number is (631) 447-6460.

What is Crystal 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 Crystal Jackson was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.