Individual provider · Type 1 NPI

Kelsee B. Jackson

Clinical Social Worker · Rio Grande, NJ

NPI number 1104619659 Active

Practice location

1127 NJ-47, Ste 9
Rio Grande, NJ 08242

Mailing address

PO Box 4
Buena, NJ 08310-0004

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SL06898900 (NJ)

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 1104619659

Kelsee B. Jackson's National Provider Identifier is 1104619659, issued on May 27, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rio Grande, NJ. The record was last updated on May 27, 2025.