Individual provider · Type 1 NPI

Aquanatte Jackson, LCSW

Clinical Social Worker · Gary, IN

NPI number 1508145244 Active

Practice location

5059 Hayes St
Gary, IN 46408-4355

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 1508145244

Aquanatte Jackson, LCSW's National Provider Identifier is 1508145244, issued on Aug 11, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gary, IN. The record was last updated on Mar 28, 2025.