Individual provider · Type 1 NPI

Jessica Jackson, LICSW

Clinical Social Worker · Brighton, MA

NPI number 1114076684 Active

Practice location

77 Warren St, Building #9
Brighton, MA 02135-3601

Call (617) 254-0964 Map

Mailing address

1269 Broadway, Rear Apt #8
Somerville, MA 02144-1723

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X113911 (MA)

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 1114076684

Jessica Jackson, LICSW's National Provider Identifier is 1114076684, issued on Jan 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brighton, MA. The record was last updated on Jul 8, 2007.