Individual provider · Type 1 NPI

Kimberly Jackson, LCSW

Clinical Social Worker · Austin, TX

NPI number 1003955162 Active

Practice location

1106 Clayton Ln, Suite 212E
Austin, TX 78723-1066

Mailing address

1301 Karen Ave
Austin, TX 78757-3017

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X39011 (TX)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003955162

Kimberly Jackson, LCSW's National Provider Identifier is 1003955162, issued on Feb 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.