National Provider Identifier
Courtney Jackson, LMSW
Courtney Jackson, LMSW is listed in the NPPES registry with a primary specialty of School Social Worker in Rochester, NY and a listed phone number of (585) 324-9273.
Profile Overview
- NPI
- 1417679473
- Provider Type
- Individual
- Primary Specialty
- School Social Worker
- Enumeration Date
- September 16, 2022
- Last Updated
- September 16, 2022
Practice Location
- 4115 Lake Ave
- Rochester, NY 14612-4813
Phone: (585) 324-9273
Mailing Address
- 211 Collingwood Dr
- Rochester, NY 14621-1016
Specialties
- School Social Worker (1041S0200X)
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1417679473
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Courtney
- Credential
- LMSW
- Provider Other Last Name
- Jackson-Troupe
- Provider Other First Name
- Courtney
- Provider Other Name Prefix Text
- Mr.
- Provider Other Credential Text
- LMSW
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 211 Collingwood Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-1016
- Mailing Country
- US
- Mailing Phone
- (585) 472-6253
- Practice Street Address
- 4115 Lake Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-4813
- Practice Country
- US
- Practice Phone
- (585) 324-9273
- Enumeration Date
- September 16, 2022
- Last Updated
- September 16, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Social Worker (1041S0200X), Clinical Social Worker (1041C0700X), Social Worker (104100000X)