NPI Registry.org

Carl Jackman

NPI Registration Record

Provider / OrganizationNPIDate Certified
CARL JACKMAN12155269592021-01-20

Carl Jackman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215526959. Registration indicates Carl Jackman is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)

Entity TypeIndividual
Provider Name Carl Jackman LMSW
Practice Office Address85 BROAD ST FL 6
NEW YORK, NY US
Practice Office Telephone6464551661
Mailing Address85 BROAD ST FL 6
NEW YORK, NY 100042794 US
HPT Codes
CodePractice
License No
State
104100000X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Social Worker
Behavioral Health & Social Service Providers
Social Worker
Social Worker

Behavioral Health/Substance Abuse/Psychiatry

Social Worker
Behavioral Health & Social Service Providers
102665
NY
OPI Codes
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