Organization · Type 2 NPI

Ellen Jackson, Lcsw, LLC

Clinical Social Worker · Falmouth, ME

NPI number 1104097948 Active

Practice location

3 Fundy Road, Suite Two
Falmouth, ME 04105-1796

Fax (207) 780-9966

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC1392 ME (ME)

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 1104097948

Ellen Jackson, Lcsw, LLC's National Provider Identifier is 1104097948, issued on Mar 20, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Falmouth, ME. The record was last updated on Mar 20, 2008.