Provider / Organization | NPI | Date Certified |
---|---|---|
CARL JACKMAN | 1215526959 | 2021-01-20 |
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 Type | Individual |
Provider Name | Carl Jackman LMSW |
Practice Office Address | 85 BROAD ST FL 6 NEW YORK, NY US |
Practice Office Telephone | 6464551661 |
Mailing Address | 85 BROAD ST FL 6 NEW YORK, NY 100042794 US |
Code | Practice | License No State |
---|---|---|
104100000X PRIMARY | Access 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 |