Individual
JACKSON CASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
(804) 819-5221
Mailing address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
(804) 819-5221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904020356
VA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
05/08/2026
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