Richard M Jack LCSW-R

  • NPI 1801803218
According to our database, the NPI number for Richard M Jack LCSW-R is 1801803218 and activated since 17 years ago. Richard M Jack LCSW-R is an individual provider who specializes in Clinical, and the primary practice location is 102 Race Track Rd, Ticonderoga, NY 12883. You can also contact Richard M Jack LCSW-R via telephone number is (518) 585-6708. Provider NPI information was last updated on 02/07/2017.

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Overview of Richard M Jack LCSW-R

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/01/2006
  • Last updated: 02/07/2017

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 060855
  • License State: NY

Provider Mailing Address

  • Address: 9 Carey Rd
    Queensbury, NY 12804
  • Phone: 518-761-0300
  • Fax: 518-824-2388

Provider Practice Location

  • Address: 102 Race Track Rd
    Ticonderoga, NY 12883
  • Phone: 518-585-6708
  • Fax: 518-585-3260

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 060855
  • License State: NY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 03201392
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NY
  • Issuer:

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 Richard M Jack LCSW-R?
  • A: The npi number for Richard M Jack LCSW-R is 1801803218.
  • Q: What are Richard M Jack LCSW-R's specialties?
  • A: Richard M Jack LCSW-R's specialties are Clinical and different specialities.
  • Q: What is the medical license for Richard M Jack LCSW-R?
  • A: The medical license number for Richard M Jack LCSW-R is 060855 and issued in NY in USA.
  • Q: Where is Richard M Jack LCSW-R practice location?
  • A: Richard M Jack LCSW-R is practicing at 102 Race Track Rd, Ticonderoga, NY 12883.
  • Q: How to contact Richard M Jack LCSW-R?
  • A: You can contact Richard M Jack LCSW-R via 518-585-6708.