Individual provider · Type 1 NPI

Tienna Stephanie Jackson

Clinical Social Worker · San Diego, CA

NPI number 1194976225 Active

Practice location

3132 Jefferson St
San Diego, CA 92110-4421

Other practice locations

  • 7828 Broadway, Lemon Grove, CA 91945-1801 · (619) 876-4470

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X89122 (CA)
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Counselor 101Y00000XNone 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 1194976225

Tienna Stephanie Jackson's National Provider Identifier is 1194976225, issued on Oct 7, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jun 27, 2024.