Individual provider · Type 1 NPI

Kandi Jackson, LCSW, CCM

Clinical Social Worker · Jacksonville, FL

NPI number 1467955567 Active

Practice location

10852 Lem Turner Rd
Jacksonville, FL 32218-4566

Mailing address

5836 Copper Creek Dr
Jacksonville, FL 32218-7334

Other practice locations

  • 5836 Copper Creek Dr, Jacksonville, FL 32218-7334 · (904) 710-0625

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X4207813
Clinical Social Worker Primary 1041C0700XSW11339 (FL)

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 1467955567

Kandi Jackson, LCSW, CCM's National Provider Identifier is 1467955567, issued on Mar 14, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 14, 2024.