Individual provider · Type 1 NPI

Paul D. Jackson, LCSW

Clinical Social Worker · Phoenix, AZ

NPI number 1265294011 Active

Practice location

4909 E Mcdowell Rd
Phoenix, AZ 85008-4227

Call (602) 685-6000 Map

Fax (602) 275-1355

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22022 (AZ)

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 1265294011

Paul D. Jackson, LCSW's National Provider Identifier is 1265294011, issued on Jan 26, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 26, 2024.