Individual provider · Type 1 NPI

Rachelle Jackson

Clinical Social Worker · Benicia, CA

NPI number 1487958757 Active

Practice location

110 E D St
Benicia, CA 94510-3254

Mailing address

PO Box 5093
Vallejo, CA 94591-0509

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X69666 (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…

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About NPI 1487958757

Rachelle Jackson's National Provider Identifier is 1487958757, issued on Dec 31, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Benicia, CA. The record was last updated on Aug 9, 2019.