Individual provider · Type 1 NPI

Marian A. Jackson, LCSW

Clinical Social Worker · Fairview Heights, IL

NPI number 1427394485 Active

Practice location

125 N Ruby Ln
Fairview Heights, IL 62208-1926

Call (618) 398-4226 Map

Fax (618) 398-1759

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.015627 (IL)

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 1427394485

Marian A. Jackson, LCSW's National Provider Identifier is 1427394485, issued on Dec 19, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairview Heights, IL. The record was last updated on Dec 19, 2012.