Titania Jackson

Clinical Social Worker · Conroe, TX

Individual Active NPI

NPI number 1083079511

Practice location

610 N Loop 336 E
Conroe, TX 77301-1437
Phone
(281) 742-1142

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NPI record

NPI
1083079511
Entity type
Individual (Type 1)
Enumeration date
December 29, 2015
Last updated
April 17, 2024
Certified
April 17, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 68581 TX
Mental Health Counselor 101YM0800X — LA

Mailing address

115 Bacle Dr
Campti, LOUISIANA 71411
UM
Phone
(318) 609-2776

About Titania Jackson

Titania Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 610 N Loop 336 E, Conroe, TX 77301-1437. The NPI number 1083079511 was assigned on December 29, 2015 and the record was last updated on April 17, 2024.

Titania Jackson lists a license in the registry: #68581 (TX) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Titania Jackson?

The NPI number is 1083079511.

What is the phone number of Titania Jackson?

The phone number listed for the practice location is (281) 742-1142.

Where is Titania Jackson located?

610 N Loop 336 E, Conroe, TX 77301-1437.

What is the taxonomy code for Titania Jackson?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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