Individual provider · Type 1 NPI

Jeanette Jackson, LCSW

Clinical Social Worker · Bristol, FL

NPI number 1407019797 Active

Practice location

12422 NW G T Revell Rd
Bristol, FL 32321-3007

Fax (850) 643-2061

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	SW6714 (FL)

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 1407019797

Jeanette Jackson, LCSW's National Provider Identifier is 1407019797, issued on Jul 7, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bristol, FL. The record was last updated on Jul 7, 2008.