Individual provider · Type 1 NPI

Dominique Jackson, LCSW

Clinical Social Worker · Sterling Heights, MI

NPI number 1669042164 Active

Practice location

43847 Rushcliffe Dr
Sterling Heights, MI 48313-1197

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801106928 (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 1669042164

Dominique Jackson, LCSW's National Provider Identifier is 1669042164, issued on Jun 28, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sterling Heights, MI. The record was last updated on Jun 28, 2021.