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

Richard M Jack, LCSW-R

Individual provider Clinical Social Worker · NPI 1801803218

Richard M Jack, LCSW-R is a Clinical Social Worker in Ticonderoga, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

102 Race Track Rd
Ticonderoga, NY 12883-4004
Phone: (518) 585-6708
Fax: (518) 585-3260
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 060855 (NY)

Record details

NPI number1801803218
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESFebruary 7, 2017

Other providers in Ticonderoga