Individual provider · Type 1 NPI

Jennifer Johnson, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1538716014 Active

Practice location

4400 Old Canton Rd
Jackson, MS 39211-5982

Call (601) 984-4465 Map

Fax (601) 815-0434

Mailing address

2500 N. State Street, Cbo - Suite 4200
Jackson, MS 39216-4500

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC8480 (MS)

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 1538716014

Jennifer Johnson, LCSW's National Provider Identifier is 1538716014, issued on Aug 20, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Aug 20, 2019.