MISS Lisa Olivia Jackson LMSW, CASAC

  • NPI 1902033350
According to our database, the NPI number for MISS Lisa Olivia Jackson LMSW, CASAC is 1902033350 and activated since 14 years ago. MISS Lisa Olivia Jackson LMSW, CASAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1444 5th Avenue, Bay Shore, NY 11706. You can also contact MISS Lisa Olivia Jackson LMSW, CASAC via telephone number is (631) 647-3100. Provider NPI information was last updated on 06/12/2009.

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Overview of MISS Lisa Olivia Jackson LMSW, CASAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/12/2009
  • Last updated: 06/12/2009

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 9582
  • License State: NY

Provider Mailing Address

  • Address: 195 Claywood Dr
    Brentwood, NY 11717
  • Phone: 631-334-1761
  • Fax:

Provider Practice Location

  • Address: 1444 5th Avenue
    Family Service League
    Bay Shore, NY 11706
  • Phone: 631-647-3100
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 9582
  • License State: NY
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MISS Lisa Olivia Jackson LMSW, CASAC?
  • A: The npi number for MISS Lisa Olivia Jackson LMSW, CASAC is 1902033350.
  • Q: What are MISS Lisa Olivia Jackson LMSW, CASAC's specialties?
  • A: MISS Lisa Olivia Jackson LMSW, CASAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MISS Lisa Olivia Jackson LMSW, CASAC?
  • A: The medical license number for MISS Lisa Olivia Jackson LMSW, CASAC is 9582 and issued in NY in USA.
  • Q: Where is MISS Lisa Olivia Jackson LMSW, CASAC practice location?
  • A: MISS Lisa Olivia Jackson LMSW, CASAC is practicing at 1444 5th Avenue, Bay Shore, NY 11706.
  • Q: How to contact MISS Lisa Olivia Jackson LMSW, CASAC?
  • A: You can contact MISS Lisa Olivia Jackson LMSW, CASAC via 631-647-3100.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
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Physical Therapist
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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