Individual provider · Type 1 NPI

Keatha Jackson, LCSW

Clinical Social Worker · Clinton, LA

NPI number 1629456496 Active

Practice location

11990 Jackson St
Clinton, LA 70722-3210

Call (225) 683-5292 Map

Fax (225) 683-3411

Mailing address

25733 Blackwell Rd
Angie, LA 70426-4017

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X9337 (LA)
Clinical Social Worker Primary 1041C0700X9337 (LA)

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 1629456496

Keatha Jackson, LCSW's National Provider Identifier is 1629456496, issued on May 13, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clinton, LA. The record was last updated on Sep 18, 2018.