Individual provider · Type 1 NPI

Pamela Mae Jackson

Clinical Social Worker · Florissant, MO

NPI number 1194407015 Active

Practice location

1150 Graham Rd
Florissant, MO 63031-8077

Mailing address

1430 Olive St
St. Louis, MO 63103-2360

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 1194407015

Pamela Mae Jackson's National Provider Identifier is 1194407015, issued on Aug 1, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Florissant, MO. The record was last updated on Aug 1, 2023.