Individual provider · Type 1 NPI
Elisha D. Jackson, LCSW
Clinical Social Worker · Long Beach, CA
Practice location
240 East 20th Street
Long Beach, CA 90806
Fax (562) 218-4076
Mailing address
PO Box 44417
Los Angeles, CA 90044-0417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 16946 (CA) |
| Clinical Social Worker Primary | 1041C0700X | LCS 26325 (CA) |
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…
2 other providers at this address
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About NPI 1487721817
Elisha D. Jackson, LCSW's National Provider Identifier is 1487721817, issued on Nov 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Long Beach, CA. The record was last updated on Mar 29, 2011.