Individual provider · Type 1 NPI

Elisabeth Jackson, PH.D. LCSW-R

Clinical Social Worker · Brooklyn, NY

NPI number 1407114150 Active

Practice location

1 Pierpont Plaza, Suite 12134
Brooklyn, NY 11246

Call (866) 650-2676 Map

Fax (212) 591-6091

Mailing address

244 Fifth Ave., Ste E249
New York, NY 10001

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	048800 (NY)

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 1407114150

Elisabeth Jackson, PH.D. LCSW-R's National Provider Identifier is 1407114150, issued on May 1, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 16, 2015.