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

Jackson Carlisle

Individual provider Social Worker · NPI 1700651114

Jackson Carlisle is a Social Worker in Bowling Green, Ohio. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1045 Klotz Rd
Bowling Green, OH 43402-4820
Phone: (419) 352-7588
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1700651114
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 16, 2023
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023
Mailing address1045 Klotz Rd, Bowling Green, OH 43402-4820

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