Jackson Gray Herz, is a
Social Worker - Clinical based in New York, New York. Jackson Gray Herz is licensed to practice in New York (license number 127734) and his current practice location is
113 E 60th St, New York, New York. He can be reached at his office (for appointments etc.) via phone at
(917) 675-2134.
NPI number for Jackson Gray Herz is 1740119486 and his current mailing address is 113 E 60th St, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740119486.
Healthcare Provider's Profile
| Full Name | Jackson Gray Herz |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 113 E 60th St, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740119486
- Provider Enumeration Date: 05/18/2026
- Last Update Date: 05/18/2026
Medical Identifiers
Medical identifiers for Jackson Gray Herz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740119486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 40768 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 127734 (New York) | Primary |
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. Jackson Gray Herz 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 |
Jackson Gray Herz, 113 E 60th St, New York, NY 10022-1939 Ph: (917) 675-2134 | Jackson Gray Herz, 113 E 60th St, New York, NY 10022-1939 Ph: (917) 675-2134 |
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