Carlton Jackson

Social Worker · Dearborn, MI

Individual Active NPI

NPI number 1235583758

Practice location

3101 S Gulley Rd
Ste F
Dearborn, MI 48124-4406
Phone
(734) 407-2500

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NPI record

NPI
1235583758
Entity type
Individual (Type 1)
Enumeration date
April 21, 2016
Last updated
April 21, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —
Clinical Social Worker 1041C0700X — —

Mailing address

136 William St
Springfield, MA 01105-2324
Phone
(734) 407-2500

About Carlton Jackson

Carlton Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 3101 S Gulley Rd, Ste F, Dearborn, MI 48124-4406. The NPI number 1235583758 was assigned on April 21, 2016 and the record was last updated on April 21, 2016.

Frequently asked questions

What is the NPI number of Carlton Jackson?

The NPI number is 1235583758.

What is the phone number of Carlton Jackson?

The phone number listed for the practice location is (734) 407-2500.

Where is Carlton Jackson located?

3101 S Gulley Rd, Ste F, Dearborn, MI 48124-4406.

What is the taxonomy code for Carlton Jackson?

The primary taxonomy code is 104100000X – 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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