Individual provider · Type 1 NPI

Richard Chad Jackson

Clinical Social Worker · Corbin, KY

NPI number 1467671982 Active

Practice location

1 Trillium Way
Corbin, KY 40701-8426

Call (606) 523-8521 Map

Mailing address

920 Bargo St
London, KY 40741-2710

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X311 (KY)

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 1467671982

Richard Chad Jackson's National Provider Identifier is 1467671982, issued on Apr 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Corbin, KY. The record was last updated on Jul 8, 2007.