Individual provider · Type 1 NPI

Tyler Isaac-Carl Jackman, LCSW

Clinical Social Worker · Columbia, MO

NPI number 1205580792 Active

Practice location

800 Hospital Dr
Columbia, MO 65201-5275

Call (573) 814-6000 Map

Mailing address

1108 E 30th St Apt 215
Kansas City, MO 64109-1517

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2020028678 (MO)

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 1205580792

Tyler Isaac-Carl Jackman, LCSW's National Provider Identifier is 1205580792, issued on Feb 4, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, MO. The record was last updated on Feb 4, 2022.