Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Jackson

Individual provider Social Worker · NPI 1588211692

Crystal Jackson is a Social Worker in Patchogue, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

456 Waverly Ave
Patchogue, NY 11772-1586
Phone: (631) 447-6460
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Route 109, West Babylon, NY 11704-6207 — (631) 669-5355

Specialties & licences

Social Worker (primary) Taxonomy 104100000X (NY)
Social Worker Taxonomy 104100000X

Record details

NPI number1588211692
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2019
Last updated in NPPESAugust 22, 2019
Mailing address1 Route 109, West Babylon, NY 11704-6207

Other providers in Patchogue