Individual provider · Type 1 NPI

Deric R. Jackson, LICSW

Clinical Social Worker · Hastings, MN

NPI number 1093423337 Active

Practice location

1320 S Frontage Rd Ste 200
Hastings, MN 55033-2481

Call (651) 500-0905 Map

Mailing address

1320 S Frontage Rd
Hastings, MN 55033-2684

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X21544 (MN)

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 1093423337

Deric R. Jackson, LICSW's National Provider Identifier is 1093423337, issued on Nov 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hastings, MN. The record was last updated on Nov 28, 2022.