Individual provider · Type 1 NPI

Peggy Ann Jackson, L.C.S.W.

Clinical Social Worker · Fort Myers, FL

NPI number 1295988442 Active

Practice location

12590 Whitehall Dr
Fort Myers, FL 33907-4680

Fax (239) 482-8581

Mailing address

610 Astarias Cir
Fort Myers, FL 33919-3200

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW484 (FL)

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 1295988442

Peggy Ann Jackson, L.C.S.W.'s National Provider Identifier is 1295988442, issued on Oct 31, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Myers, FL. The record was last updated on Oct 31, 2008.