Individual provider · Type 1 NPI

Hallie Jackson, LCSW

Clinical Social Worker · Fairfax, VA

NPI number 1396563102 Active

Practice location

10400 Eaton Pl Ste 420
Fairfax, VA 22030-2208

Call (703) 231-7991 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904021114 (VA)

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 1396563102

Hallie Jackson, LCSW's National Provider Identifier is 1396563102, issued on Sep 30, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Oct 8, 2026.