Cynthia Leray Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01025500 Issued in NJ

Practice address

200 South St
Concern Suite 402
Morristown, NJ 07960-5370

Phone

(800) 242-7371

Fax

(973) 451-0482

NPI assigned

Aug 16, 2006

Last updated

Oct 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1679686315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MT. KEMBLE AVENUE",
            "address_2": "ATTN: C.LAMPRON",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621978",
            "telephone_number": "973-971-4714",
            "fax_number": "973-290-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH ST",
            "address_2": "CONCERN SUITE 402",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605370",
            "telephone_number": "800-242-7371",
            "fax_number": "973-451-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CYNTHIA",
        "middle_name": "LERAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01025500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Raymond Israel, MD
• Riddhima Issar, DO
• Anthony Martino Iuso, DO (MAY 2022 GRAD)
• Danijela Ivelja-Hill, MD
• Ivyrehab Network Inc
• Erin Tanner Jackson
• Fredda Nakia Jackson, MSN, APN-C
• Unjeria Jackson, M.D.
• Wadeeha Mahasin Jackson, M.B.A
• Heidi Elizabeth Jacobsen, PHD

• Clinical Social Worker in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.