Individual provider · Type 1 NPI
Antimoore H. Jackson, LCSW
Clinical Social Worker · Little Rock, AR
Practice location
14617 Sara Dr
Little Rock, AR 72206-5410
Fax (501) 888-3576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1568-C (AR) |
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…
Another provider at this address
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About NPI 1376756098
Antimoore H. Jackson, LCSW's National Provider Identifier is 1376756098, issued on May 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Little Rock, AR. The record was last updated on Jul 9, 2007.