Erin Jackson, LCSW | |
1351 Washington Blvd, Stamford, CT 06902-2419 | |
(203) 621-3750 | |
Not Available |
Full Name | Erin Jackson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1351 Washington Blvd, Stamford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083171995 | NPI | - | NPPES |
10532 | Other | CT | DEPARTMENT OF PUBLIC HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.025913 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 10532 (Connecticut) | Primary |
Entity Name | Optimus Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669445946 PECOS PAC ID: 9335051580 Enrollment ID: O20031105000254 |
Entity Name | State Of Connecticut |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720013360 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000785 |
Entity Name | Sunrise Psychological Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699199869 PECOS PAC ID: 7911130216 Enrollment ID: O20140512000200 |
Entity Name | Step Up Care Pc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
Entity Name | Thrive Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200330002193 |
Entity Name | Valera Medical Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871248757 PECOS PAC ID: 6406238310 Enrollment ID: O20220929001879 |
Entity Name | Rivia Medical Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134644032 PECOS PAC ID: 4880009943 Enrollment ID: O20231117002635 |
Mailing Address | Practice Location Address |
---|---|
Erin Jackson, LCSW 114 Woodside Grn Apt 1b, Stamford, CT 06905-4913 Ph: () - | Erin Jackson, LCSW 1351 Washington Blvd, Stamford, CT 06902-2419 Ph: (203) 621-3750 |
Monica Angel Rosado, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 423 Courtland Ave, Stamford, CT 06906 Phone: 917-518-4713 Fax: 203-324-0212 | |
Daniela Trotman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 37 Glenbrook Rd Ste 3, Stamford, CT 06902 Phone: 203-693-4917 Fax: 203-802-6271 | |
Mr. Alejandro Molina Rendon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 68 Southfield Ave, Ste 100, Stamford, CT 06902 Phone: 929-233-6267 Fax: 203-547-7335 | |
Mary Ellen Benalcazar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Prospect St, Stamford, CT 06901 Phone: 203-998-6058 | |
Mrs. Rachel Tomsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1351 Washington Blvd, Stamford, CT 06902 Phone: 203-621-3700 Fax: 203-621-3701 | |
Michelle Feeney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 Mountain Wood Rd, Stamford, CT 06903 Phone: 203-644-3722 | |
Lynette Prescott, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 78 Harvard Ave Ste 220, Stamford, CT 06902 Phone: 203-422-2193 |