Individual provider · Type 1 NPI

Jack C. Brandon, LMSM

Clinical Social Worker · Gainesville, FL

NPI number 1114039880 Active

Practice location

1601 SW Archer Rd
Gainesville, FL 32608-1135

Mailing address

491 Alton Ave
Battle Creek, MI 49017-3211

Other practice locations

  • 5500 Armstrong Rd, Battle Creek, MI 49015-1014 · (269) 966-5600

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801067748 (MI)

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 1114039880

Jack C. Brandon, LMSM's National Provider Identifier is 1114039880, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gainesville, FL. The record was last updated on May 9, 2024.