Krystina Jackson, is a
Social Worker based in Hamden, Connecticut. Krystina Jackson is licensed to practice in Connecticut (license number 8881) and her current practice location is
2911 Dixwell Ave Ste 301, Hamden, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 843-5810.
NPI number for Krystina Jackson is 1649002569 and her current mailing address is 56 Rockwell Ave, Naugatuck, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649002569.
Healthcare Provider's Profile
| Full Name | Krystina Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2911 Dixwell Ave Ste 301, Hamden, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649002569
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 04/23/2026
Medical Identifiers
Medical identifiers for Krystina Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649002569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 8881 (Connecticut) | Secondary |
| 104100000X | Social Worker | 8881 (Connecticut) | 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. Krystina Jackson 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 |
Krystina Jackson, 56 Rockwell Ave, Naugatuck, CT 06770-2708 Ph: (860) 230-5011 | Krystina Jackson, 2911 Dixwell Ave Ste 301, Hamden, CT 06518-3130 Ph: (203) 843-5810 |
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