National Provider Identifier
Jackson Morris
Jackson Morris is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 667-1367.
Profile Overview
- NPI
- 1215440375
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- November 13, 2017
- Last Updated
- April 04, 2023
Practice Location
- 2300 East Ave
- Rochester, NY 14610-2564
Phone: (585) 667-1367
Mailing Address
- 1143 Rousseau Dr
- Webster, NY 14580-4115
Specialties
- Social Worker (104100000X)
- Social Worker (104100000X)
Full Record
- NPI
- 1215440375
- Entity Type
- Individual
- Last Name
- Morris
- First Name
- Jackson
- Mailing Street Address
- 1143 Rousseau Dr
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-4115
- Mailing Country
- US
- Practice Street Address
- 2300 East Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14610-2564
- Practice Country
- US
- Practice Phone
- (585) 667-1367
- Enumeration Date
- November 13, 2017
- Last Updated
- April 04, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 04, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Social Worker (104100000X)