Individual provider · Type 1 NPI

Derrick Jerome Jackson, LLMSW

Clinical Social Worker · Pontiac, MI

NPI number 1588928626 Active

Practice location

114 Orchard Lake Rd
Pontiac, MI 48341-2244

Call (248) 858-7766 Map

Fax (248) 858-7112

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801094410 (MI)

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 1588928626

Derrick Jerome Jackson, LLMSW's National Provider Identifier is 1588928626, issued on Jul 3, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pontiac, MI. The record was last updated on Jul 3, 2012.