Organization · Type 2 NPI

Jackson Therapy

Clinical Social Worker · Urbana, IL

NPI number 1164080693 Active

Practice location

404 W Green St
Urbana, IL 61801-3267

Call (217) 706-5498 Map

Fax (217) 706-5779

Mailing address

230 W Main St
Decatur, IL 62523-1215

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1164080693

Jackson Therapy's National Provider Identifier is 1164080693, issued on May 30, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Urbana, IL. The record was last updated on Mar 30, 2023.