CARISSA JACKSON, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1669163051
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | CSW02518 (RI) |
Frequently Asked Questions
NPI 1669163051 is the National Provider Identifier for CARISSA JACKSON, LCSW, a Social Worker - Clinical provider located in Pawtucket, RI. This NPI was enumerated on May 16, 2023.
CARISSA JACKSON, LCSW practices at 200 MAIN ST STE 210, Pawtucket, RI 02860.
Quick Facts
- NPI
- 1669163051
- Type
- Individual
- Enumerated
- May 16, 2023
- Last Updated
- May 16, 2023
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THOMAS RODRIGUES
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DANIEL REYES, MASTERS
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DONNA RENSHAW
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