Individual provider · Type 1 NPI

Shasa Jackson, LCSW, DBH

Clinical Social Worker · Avondale, AZ

NPI number 1013640036 Active

Practice location

950 E Van Buren St
Avondale, AZ 85323-1506

Call (623) 344-6860 Map

Fax (602) 655-9682

Mailing address

2619 E. Roosevelt
Phoenix, AZ 85008

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-20522 (AZ)

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…

16 other providers at this address

Other clinical social worker providers in Avondale

See all in Avondale →

About NPI 1013640036

Shasa Jackson, LCSW, DBH's National Provider Identifier is 1013640036, issued on Jul 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Avondale, AZ. The record was last updated on Jul 7, 2022.