Individual provider · Type 1 NPI

Jacqueline Fross, LCSW

Clinical Social Worker · Marietta, GA

NPI number 1386633352 Active

Practice location

222 Cherokee St NE
Marietta, GA 30060-1612

Fax (770) 977-9148

Mailing address

PO Box 669023
Marietta, GA 30066-0101

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X001562 (GA)

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 1386633352

Jacqueline Fross, LCSW's National Provider Identifier is 1386633352, issued on Oct 20, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marietta, GA. The record was last updated on Mar 21, 2017.