Individual provider · Type 1 NPI

Stephany Jackson, LCSWA

Clinical Social Worker · Raleigh, NC

NPI number 1376094938 Active

Practice location

3125 Poplarwood Ct
Raleigh, NC 27604-1084

Call (919) 790-8580 Map

Mailing address

7009 Kalmia Ln
Hope Mills, NC 28348-9278

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP010215 (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 1376094938

Stephany Jackson, LCSWA's National Provider Identifier is 1376094938, issued on Oct 19, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Oct 19, 2016.