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

Dr. Elisabeth Jackson, PHDLCSW-R

Individual provider Clinical Social Worker · NPI 1407114150

Dr. Elisabeth Jackson, PHDLCSW-R is a Clinical Social Worker in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

1 Pierpont Plz Ste 12134
Brooklyn, NY 11246
Phone: (866) 650-2676
Fax: (212) 591-6091

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 048800 (NY)

Record details

NPI number1407114150
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLCSW-R
Sole proprietorYes
NPI enumeratedMay 1, 2012
Last updated in NPPESApril 16, 2015

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