Individual provider · Type 1 NPI
Gwendolyn Sandra Jackson, L.C.S.W.
Clinical Social Worker · Baton Rouge, LA
Practice location
2514 Gates Cir Apt 12
Baton Rouge, LA 70809-1017
Mailing address
PO Box 538
Baker, LA 70704-0538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 3189 (LA) |
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 1417244286
Gwendolyn Sandra Jackson, L.C.S.W.'s National Provider Identifier is 1417244286, issued on Jun 30, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baton Rouge, LA. The record was last updated on Jun 30, 2011.