Miss Lisa Olivia Jackson
LMSW, CASAC | Addiction (Substance Use Disorder) Counselor
1444 5th Avenue, Family Service League, Bay Shore
New York, 11706
631-647-3100 Maps & DirectionsMiss Lisa Olivia Jackson is a Bay Shore, New York based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Miss Lisa Olivia Jackson is 076799 for Social Worker in New York. Her current practice location is 1444 5th Avenue, Family Service League, Bay Shore. Patients can book an appointment with her at 631-647-3100.
Miss Lisa Olivia Jackson is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Miss Lisa Olivia Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Miss Lisa Olivia Jackson |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Female |
| Credentials: | LMSW, CASAC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1444 5th Avenue, Family Service League, Bay Shore,
New York, 11706 |
| Phone: | 631-647-3100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1902033350 |
| NPI Enumeration Date: | 12 Jun, 2009 |
| NPI Last Update On: | 12 Jun, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Lisa Olivia Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 076799 | Social Worker | New York | Primary | |
| 9582 | Addiction (Substance Use Disorder) Counselor | New York | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 195 Claywood Dr,
Brentwood, New York |
| Zip: | 11717-6809 |
| Phone Number: | 631-334-1761 |
Patients can reach Miss Lisa Olivia Jackson at
1444 5th Avenue, Family Service League, Bay Shore, New York or can
call to book an appointment on 631-647-3100.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.