Individual provider · Type 1 NPI
Yvette Lisa Jackson, LCSW
Clinical Social Worker · Boise, ID
Practice location
223 N 6th St Ste 230
Boise, ID 83702-5954
Mailing address
11421 W Kings Canyon Ct
Boise, ID 83709-7940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW-37582 (ID) |
| Social Worker | 104100000X | LMSW-33944 (ID) |
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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- Amy Niblock Balzer, LCSWClinical Social Worker Boise, ID NPI 1013379536
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About NPI 1063927853
Yvette Lisa Jackson, LCSW's National Provider Identifier is 1063927853, issued on Dec 3, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Jul 19, 2019.