Individual provider · Type 1 NPI

Jackie Lynn Anderson

Clinical Social Worker · Oakland, CA

NPI number 1477072437 Active

Practice location

2116 Broadway
Oakland, CA 94612-2310

Fax (510) 899-4110

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1477072437

Jackie Lynn Anderson's National Provider Identifier is 1477072437, issued on Sep 11, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Jul 21, 2022.