Individual provider · Type 1 NPI

Thomas Jackson, M.S.W., P-LCSW

Clinical Social Worker · Summerfield, NC

NPI number 1255698759 Active

Practice location

5240 Creed Dr
Summerfield, NC 27358-8284

Fax (336) 686-1314

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP006086 (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 1255698759

Thomas Jackson, M.S.W., P-LCSW's National Provider Identifier is 1255698759, issued on Apr 20, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Summerfield, NC. The record was last updated on Apr 20, 2012.