National Provider Identifier
Cynthia Ann Jackson, LCSW-R, CASAC, CEAP
Cynthia Ann Jackson, LCSW-R, CASAC, CEAP is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Williamsville, NY and a listed phone number of (716) 631-9212.
Profile Overview
- NPI
- 1609065861
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 23, 2007
- Last Updated
- October 23, 2007
Practice Location
- 6680 Main St
- Williamsville, NY 14221-5933
Phone: (716) 631-9212
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1609065861
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Cynthia
- Middle Name
- Ann
- Credential
- LCSW-R, CASAC, CEAP
- Mailing Street Address
- 6680 Main St
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5933
- Mailing Country
- US
- Mailing Phone
- (716) 631-9212
- Practice Street Address
- 6680 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5933
- Practice Country
- US
- Practice Phone
- (716) 631-9212
- Enumeration Date
- October 23, 2007
- Last Updated
- October 23, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 11515193 (NY, Univera Healthcare)