Individual provider · Type 1 NPI

Latosha M. Jackson, LICSW

Clinical Social Worker · Concord, NH

NPI number 1477992188 Active

Practice location

6 Chenell Dr Ste 100
Concord, NH 03301-8514

Call (402) 469-6899 Map

Mailing address

1 Hardy Rd # 128
Bedford, NH 03110-4915

Other practice locations

  • 2 Wall St, Ste 400, Manchester, NH 03101 · (603) 668-4111

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2108 (NE)
Clinical Social Worker 1041C0700X1822 (NE)
Clinical Social Worker Primary 1041C0700X2138 (NH)

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 1477992188

Latosha M. Jackson, LICSW's National Provider Identifier is 1477992188, issued on Jun 17, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Concord, NH. The record was last updated on Dec 23, 2021.