Individual provider · Type 1 NPI
Summer Jackson, LCSW
Clinical Social Worker · Berkeley, CA
Practice location
725 Neilson St
Berkeley, CA 94707-1813
Mailing address
1748 Shattuck Ave, Pmb 154
Berkeley, CA 94709-1720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW71611 (CA) |
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 1588301022
Summer Jackson, LCSW's National Provider Identifier is 1588301022, issued on May 17, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Berkeley, CA. The record was last updated on May 17, 2022.