Individual
JOY A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
11801 BUCKEYE RD, CLEVELAND, OH 44120-2620
(216) 831-2255
(216) 378-3906
Mailing address
12200 FAIRHILL RD, CLEVELAND, OH 44120-1058
(216) 923-0333
(216) 923-0343
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106816
TX
1041C0700X
Clinical Social Worker
C014568
NC
1041C0700X
Clinical Social Worker
Primary
I.1101049
OH
1041C0700X
Clinical Social Worker
S.0901107
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02686768
—
OH
05
—
0268768
—
OH
Enumeration date
04/06/2011
Last updated
04/12/2022
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