Individual provider · Type 1 NPI

Stuart Mark Jackson, LCSW

Clinical Social Worker · Portland, OR

NPI number 1013939453 Active

Practice location

5331 SW Macadam Ave, Suite 363
Portland, OR 97239-6104

Call (503) 803-1250 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL3769 (OR)

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 1013939453

Stuart Mark Jackson, LCSW's National Provider Identifier is 1013939453, issued on Jul 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.