Individual provider · Type 1 NPI

Myrna C. Jackson

Clinical Social Worker · Baltimore, MD

NPI number 1043879315 Active

Practice location

200 E. North Ave, Related Services Rm 210
Baltimore, MD 21202

Call (443) 642-4211 Map

Mailing address

111 Hamlet Hill Rd Unit 602
Baltimore, MD 21210-1510

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X04710 (MD)

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 1043879315

Myrna C. Jackson's National Provider Identifier is 1043879315, issued on Jun 11, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Jun 11, 2019.