National Provider Identifier
Stephanie Jackman Lcsw PLLC
Stephanie Jackman Lcsw PLLC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 358-6827.
Profile Overview
- NPI
- 1427663269
- Provider Type
- Organization
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 09, 2020
- Last Updated
- September 09, 2020
Practice Location
- 360 Wellington Ave
- Rochester, NY 14619-1210
Phone: (585) 358-6827
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1427663269
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Stephanie Jackman Lcsw PLLC
- Mailing Street Address
- 360 Wellington Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-1210
- Mailing Country
- US
- Practice Street Address
- 360 Wellington Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-1210
- Practice Country
- US
- Practice Phone
- (585) 358-6827
- Enumeration Date
- September 09, 2020
- Last Updated
- September 09, 2020
- Authorized Official Last Name
- Jackman
- Authorized Official First Name
- Stephanie
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 861-6827
- Organization Subpart
- No
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- September 09, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 0349709 (NY, Lcsw License)