Individual provider · Type 1 NPI

Markus K. Jackson, LCSW

Clinical Social Worker · South Bend, IN

NPI number 1518955434 Active

Practice location

105 E Jefferson Blvd, Suite 700
South Bend, IN 46601-1922

Fax (574) 287-9377

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34004900A (IN)

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 1518955434

Markus K. Jackson, LCSW's National Provider Identifier is 1518955434, issued on Oct 13, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Bend, IN. The record was last updated on Jul 13, 2026.