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Contact Information

KAYLA M JACKSON, LCSW
1099 NORTH MERIDIAN STREET
SUITE 900
INDIANAPOLIS, IN46204
 Phone: (317) 988-1418
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KAYLA M JACKSON · (Female)

NPI Number 1013436831
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/13/2017
Last updated 07/03/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 34008189A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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