Individual provider · Type 1 NPI

Samantha J. Jackson, LICSW

Clinical Social Worker · Salem, OR

NPI number 1265108484 Active

Practice location

2355 State St Ste 10
Salem, OR 97301-4541

Other practice locations

  • 202 N Cedar Ave Ste 1, Owatonna, MN 55060-2306 · (541) 577-6571

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XL14321 (OR)
Clinical Social Worker Primary 1041C0700X25126 (MN)

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 1265108484

Samantha J. Jackson, LICSW's National Provider Identifier is 1265108484, issued on Aug 18, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salem, OR. The record was last updated on May 8, 2024.