What is Theodore Jackson's NPI number?

Theodore Jackson's National Provider Identifier (NPI) is 1346799830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Theodore Jackson's specialty?

Theodore Jackson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Theodore Jackson located?

Theodore Jackson's practice location on file with NPPES is 1045 James St, Syracuse, NY 13203-2730.

What is Theodore Jackson's phone number?

The practice phone number listed in the NPPES registry for Theodore Jackson is (315) 472-4471.

Is Theodore Jackson's NPI active?

Yes — Theodore Jackson's NPI (1346799830) is active in the NPPES registry as of the last update on 2016-09-26.

IndividualActive

Theodore Jackson

NPI 1346799830 · Social Worker · Syracuse, NY

Theodore Jackson is a Social Worker provider in Syracuse, NY (NPI 1346799830).

Provider details

NPI number: 1346799830
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes
License: 098808 (NY)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense 098808 (NY)
Behavioral Health & Social Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1045 James St

Syracuse, NY 13203-2730

Phone: (315) 472-4471

Fax: (315) 472-1759

Street-level locationGet directions

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Mailing address