Chrystin Jackson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

41 Mason St
Salem, MA 01970-2260

Phone

(978) 744-1585

NPI assigned

Jun 26, 2013

Sex

Female

Sole proprietor

Yes

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1992145791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WITHERBEE AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021511718",
            "telephone_number": "617-803-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MASON ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702260",
            "telephone_number": "978-744-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRYSTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lee Izen, APRN,PC,BC
• J & E Wellness LLC
• Ali Jabari, M.D.
• Katheryn Jablonski
• Jacklyn Powers, LLC
• Richard M Jackson, MD
• Tiffany Sam Jacobs
• Christopher Jacques, PHARMD
• Amita Jain, M.D.
• Teasha Jaksland

• Clinical Social Worker in Salem, MA
• Providers in Salem, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.