Lynette Jackson, LSW

Social Worker · Elyria, OH

Individual Active NPI

NPI number 1902116486

Practice location

1530 W River Rd N Ste 300
Elyria, OH 44035
Phone
(440) 610-0699

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NPI record

NPI
1902116486
Entity type
Individual (Type 1)
Enumeration date
October 18, 2010
Last updated
August 13, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X S.0028220 OH

Mailing address

629 Georgetown Ave
Elyria, OH 44035-3001
Phone
(440) 610-0699

About Lynette Jackson

Lynette Jackson, LSW is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 1530 W River Rd N Ste 300, Elyria, OH 44035. The NPI number 1902116486 was assigned on October 18, 2010 and the record was last updated on August 13, 2018.

Lynette Jackson lists a license in the registry: #S.0028220 (OH) for 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 Lynette Jackson, LSW?

The NPI number is 1902116486.

What is the phone number of Lynette Jackson?

The phone number listed for the practice location is (440) 610-0699.

Where is Lynette Jackson located?

1530 W River Rd N Ste 300, Elyria, OH 44035.

What is the taxonomy code for Lynette Jackson?

The primary taxonomy code is 104100000X – Social Worker.

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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