Active NPI
Maria Jackson, LSW
- Social Worker
- Harrisburg, PA
National Provider Identifier
1821409020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1501 N 21St St
Harrisburg, PA 17109-3308 - Phone
- (717) 440-7535
- NPI assigned
- May 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | PA | Primary |
Addresses
Primary practice location
1501 N 21St St
Harrisburg, PA 17109-3308
Mailing address
1501 North 21St Street
Harrisburg, PA 17109-9528
Phone (717) 440-7535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1821409020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 NORTH 21ST STREET",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171099528",
"telephone_number": "717-440-7535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N 21ST ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171093308",
"telephone_number": "717-440-7535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MARIA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-11",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.