Individual provider · Type 1 NPI

Diane Tanequa Marie Jackson, LSW

Clinical Social Worker · Columbus, OH

NPI number 1396522579 Active

Practice location

6100 Channingway Blvd Ste 206
Columbus, OH 43232-2910

Call (614) 706-5099 Map

Fax (614) 725-0402

Mailing address

3036 Clover Rd NW
Concord, NC 28027-3810

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.2608054 (OH)

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…

Other clinical social worker providers in Columbus

See all in Columbus →

About NPI 1396522579

Diane Tanequa Marie Jackson, LSW's National Provider Identifier is 1396522579, issued on Sep 12, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Sep 22, 2026.