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CHANCE JACKSON LMSW
NPI 1700761236
Social Worker in New Haven, CT

Active since August 05, 2025
197 DIXWELL AVE, NEW HAVEN, CT 06511(203) 500-2147 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chance Jackson Lmsw NPPES

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

CHANCE JACKSON LMSW (NPI 1700761236) is an individual social worker in New Haven, Connecticut and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1700761236
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameCHANCE JACKSONCredential: LMSW
Location Address197 DIXWELL AVENew Haven, CT 06511-3470
Mailing Address169 Fountain St Apt C3New Haven, CT 06515-1931 · (203) 500-2147
Phone(203) 500-2147
Sole ProprietorNo
Enumeration DateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1700761236 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.
197 DIXWELL AVE, New Haven, CT 06511
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Other Providers at the Same Location NPPES 6

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

BENJAMIN RONALD FISHER
Counselor
197 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3587
JOCELYN SANFORD RN
Registered Nurse
197 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3000
MISS STEPHANIE DA FONSECA LPCA
Counselor (Mental Health)
197 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3000
LANDON A OSBORN
Social Worker (Clinical)
197 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 809-6108
NATHAN QUINN LPCA, RMHCI
Counselor (Professional)
197 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (352) 448-9120
VARSHITHA PRAKASH RAO THANIKONDA MBBS
Internal Medicine
197 DIXWELL AVE
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3000

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 Chance Jackson's NPI number?

The NPI number for Chance Jackson is 1700761236. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Chance Jackson located?

Chance Jackson practices at 197 Dixwell Ave, New Haven, CT 06511. The listed phone number is (203) 500-2147.

What is Chance 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 Chance Jackson was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.