Individual provider · Type 1 NPI
Kandi Jackson, LCSW, CCM
Clinical Social Worker · Jacksonville, FL
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
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 4207813 |
| Clinical Social Worker Primary | 1041C0700X | SW11339 (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.