Individual provider · Type 1 NPI

Ebony Jackson, LCSW

Clinical Social Worker · Florence, KY

NPI number 1568025807 Active

Practice location

1655 Burlington Pike Ste 101
Florence, KY 41042-4909

Mailing address

6060 Celtic Ash Ave
Florence, KY 41042-1795

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X253805 (KY)

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 1568025807

Ebony Jackson, LCSW's National Provider Identifier is 1568025807, issued on Apr 22, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Florence, KY. The record was last updated on Jan 14, 2021.