Individual provider · Type 1 NPI
Nichole Jackson, LCSW
Clinical Social Worker · Irvington, NJ
Practice location
75 Norwood Ave
Irvington, NJ 07111-4619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 44SC05966900 (NJ) |
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 1205755386
Nichole Jackson, LCSW's National Provider Identifier is 1205755386, issued on Jul 13, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Irvington, NJ. The record was last updated on Jul 13, 2026.