Dr Joanne Jackal, PHD, LCSW CASAC is a
Social Worker - Clinical based in Millburn, New Jersey. Dr Joanne Jackal is licensed to practice in New Jersey (license number 44SC04547900) and her current practice location is
7 Undercliff Rd, Millburn, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 564-7651.
NPI number for Dr Joanne Jackal is 1174702500 and her current mailing address is 7 Undercliff Rd, Millburn, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174702500.
Healthcare Provider's Profile
| Full Name | Dr Joanne Jackal |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 7 Undercliff Rd, Millburn, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174702500
- Provider Enumeration Date: 11/01/2007
- Last Update Date: 11/01/2007
Medical Identifiers
Medical identifiers for Dr Joanne Jackal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174702500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2404 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC04547900 (New Jersey) | Primary |
| 1041S0200X | Social Worker - School | 00261268 (New Jersey) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joanne Jackal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Joanne Jackal, PHD, LCSW CASAC
7 Undercliff Rd,
Millburn, NJ 07041-1509
Ph: (973) 564-7651 | Dr Joanne Jackal, PHD, LCSW CASAC
7 Undercliff Rd,
Millburn, NJ 07041-1509
Ph: (973) 564-7651 |
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