Individual provider · Type 1 NPI

Samantha Jackson

Clinical Social Worker · Clinton, NC

NPI number 1174257307 Active

Practice location

100 Loop St
Clinton, NC 28328-4062

Call (910) 596-2221 Map

Mailing address

445 Tradewinds Dr Apt H
Fayetteville, NC 28314-0063

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP017723 (NC)

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 1174257307

Samantha Jackson's National Provider Identifier is 1174257307, issued on Jul 13, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clinton, NC. The record was last updated on Jul 13, 2022.