Individual provider · Type 1 NPI
Richard Allen Jackson, LICSW
Clinical Social Worker · Brainerd, MN
Practice location
201 W Laurel St
Brainerd, MN 56401-3902
Fax (218) 454-3844
Mailing address
823 Maple St
Brainerd, MN 56401-3770
Other practice locations
- 201 W Laurel St, Brainerd, MN 56401-3902 · (218) 454-3844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 23282 (MN) |
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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- Shawn S. McNally, LICSWClinical Social Worker Brainerd, MN NPI 1053745935
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About NPI 1629520770
Richard Allen Jackson, LICSW's National Provider Identifier is 1629520770, issued on Oct 25, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brainerd, MN. The record was last updated on Apr 12, 2018.