Individual provider · Type 1 NPI

Miranda Jackson

Clinical Social Worker · Faribault, MN

NPI number 1538051909 Active

Practice location

410 Central Ave N
Faribault, MN 55021-5217

Call (507) 446-0431 Map

Fax (507) 446-8014

Mailing address

2575 Harvest Ln
Owatonna, MN 55060-4305

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 1538051909

Miranda Jackson's National Provider Identifier is 1538051909, issued on Jul 18, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Faribault, MN. The record was last updated on Jul 18, 2025.