Individual provider · Type 1 NPI

Chissy Lynn Jackson, LCSW

Clinical Social Worker · Grand Prairie, TX

NPI number 1467798975 Active

Practice location

2580 W Camp Wisdom Rd, Suite 100 #135
Grand Prairie, TX 75052-3088

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	34044 (TX)

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 1467798975

Chissy Lynn Jackson, LCSW's National Provider Identifier is 1467798975, issued on Jan 2, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Prairie, TX. The record was last updated on Jan 2, 2013.