Individual
ERIN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 POST RD E # 265, WESTPORT, CT 06880-4431
(212) 203-1773
(646) 665-4427
Mailing address
114 WOODSIDE GRN APT 1B, STAMFORD, CT 06905-4913
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10532
CT
1041C0700X
Clinical Social Worker
149.025913
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10532
DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
02/27/2019
Last updated
07/09/2025
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