Courtney Danielle Jackson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

094810

Practice address

28 Byrd St
Hempstead, NY 11550-1943

Phone

(516) 304-0522

NPI assigned

Jan 14, 2021

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)

Not enrolled

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1962091801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BYRD ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115501943",
            "telephone_number": "516-304-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BYRD ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115501943",
            "telephone_number": "516-304-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "COURTNEY",
        "middle_name": "DANIELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "094810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iyaho Social Services Inc
• J. Alexander Jarbath D.P.M., P.C.
• Ashley Lynn Jablonowski
• Marie-Aure Jabouin
• Jack Yuan, DPM P.C.
• Gwen Jackson
• Jacqueline Jackson, LMSW
• Kerry Kay Jackson
• Nathaniel E. Jacob, D.D.S.
• Roberta D Jaeger, D.C.

• Social Worker in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.