Individual provider · Type 1 NPI

Jerry Camal Jackson, BA

Clinical Social Worker · Detroit, MI

NPI number 1528182102 Active

Practice location

2925 Russell St
Detroit, MI 48207-4825

Call (313) 603-0603 Map

Mailing address

4710 W Saginaw Hwy Ste 1
Lansing, MI 48917-2654

Other practice locations

  • 4710 W Saginaw Hwy Ste 1, Lansing, MI 48917-2654 · (517) 914-2288

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Marriage & Family Therapist 106H00000XNone listed
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 1528182102

Jerry Camal Jackson, BA's National Provider Identifier is 1528182102, issued on Mar 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Oct 10, 2024.