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

MS. Awilda Jackanin, LCSW

Individual provider Clinical Social Worker · NPI 1508889346

MS. Awilda Jackanin, LCSW is a Clinical Social Worker in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

111 E 59th Street Lighthouse International
New York, NY 10022-1202 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 821-9239
Fax: (212) 821-9710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R057061 (NY)

Record details

NPI number1508889346
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESJuly 8, 2007

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