Provider Demographics
NPI:1841486032
Name:JACKSON, MARGARET A (LICSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:JACKSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:A
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:394 BERKSHIRE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01257-9713
Mailing Address - Country:US
Mailing Address - Phone:413-441-5149
Mailing Address - Fax:413-298-4020
Practice Address - Street 1:394 BERKSHIRE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:MA
Practice Address - Zip Code:01257-9713
Practice Address - Country:US
Practice Address - Phone:413-441-5149
Practice Address - Fax:413-298-4020
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10277801041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical