Individual provider · Type 1 NPI
Kelly Jackson
Clinical Social Worker · Gainesville, FL
Practice location
111 SE 1st Ave, Ste 130
Gainesville, FL 32601-9913
Mailing address
2937 NE 16th Ter
Gainesville, FL 32609-3234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | SW16096 (FL) |
| Clinical Social Worker | 1041C0700X | ISW 9557 (FL) |
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…
2 other providers at this address
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- Amanda Cruce, LCSWClinical Social Worker Gainesville, FL NPI 1003228073
- Thomas W. Brady, LCSWClinical Social Worker Gainesville, FL NPI 1003321159
- Sarah Wilson, LCSWClinical Social Worker Gainesville, FL NPI 1003500299
- Daimian Holiday Scott, MSW, LCSWClinical Social Worker Gainesville, FL NPI 1003563065
About NPI 1588036263
Kelly Jackson's National Provider Identifier is 1588036263, issued on Oct 21, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gainesville, FL. The record was last updated on Apr 7, 2021.