Individual provider · Type 1 NPI

Diane Cathleen Jackson, LCSW

Clinical Social Worker · Fayetteville, NC

NPI number 1194765289 Active

Practice location

806 Hay St
Fayetteville, NC 28305-5312

Call (910) 822-3333 Map

Fax (910) 822-3336

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC004576 (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 1194765289

Diane Cathleen Jackson, LCSW's National Provider Identifier is 1194765289, issued on Jun 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Sep 26, 2011.