Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Crystal Jackson

Social Worker in Patchogue, NY · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588211692

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Crystal Jackson

Sex Female

Practice address 456 Waverly Ave, Patchogue, NY, 11772

Phone (631) 447-6460

Enumeration date Aug 22, 2019

Last updated in NPPES Aug 22, 2019

Taxonomy & licenses

104100000X Social Worker Behavioral Health & Social Service Providers Secondary

104100000X Social Worker Behavioral Health & Social Service Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Crystal Jackson?

Crystal Jackson is registered in NPPES with the primary taxonomy of Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-22.