Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588211692 Individual Practitioner Female Practitioner

Crystal Jackson

Social Worker • Patchogue, NY

Professional Overview & Biography Verified Profile Summary

Crystal Jackson is a registered healthcare professional specializing in Social Worker in Patchogue, NY. Practice services are available at 456 WAVERLY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

456 Waverly Ave

Patchogue, NY 117721586

Telephone 6314476460
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Patchogue, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
38 Specialists

Practicing in Patchogue, NY (23970 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Secondary Practice Locations

1 Route 109

West Babylon, NY 117046207

Phone: 6316695355

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Shannon Miele

Social Worker

NPI 1013275080
Kelly Dean , LCSW

Social Worker - Clinical

NPI 1023141322

Licensed Clinical Social Worker

NPI 1053291617

Licensed Master Social Worker

NPI 1073002671

Licensed Master Social Worker

Jennifer Neithercut

Social Worker

NPI 1093322901
Alyson Heimann

Social Worker

NPI 1184471013

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2019

Registered at 456 WAVERLY AVE, PATCHOGUE, NY 117721586 (Tel: 6314476460)

📍
Updated Business Mailing Address August 22, 2019

Registered at 1 ROUTE 109, WEST BABYLON, NY 117046207

👤
Provider Name / Credentials Updated August 22, 2019

Recorded as CRYSTAL JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Social Worker

🟢
Initial NPI Registration & Enumeration August 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588211692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2019
Last Update: August 22, 2019
Sole Proprietor: No

Mailing Address

1 Route 109

West Babylon, NY 117046207

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.