Individual provider · Type 1 NPI
Elijah Jagger Jackson, LCSW
Clinical Social Worker · Philadelphia, PA
Practice location
201 S 13th St Apt 1011
Philadelphia, PA 19107-5404
Other practice locations
- 1500 Walnut St Ste 300, Philadelphia, PA 19102-3502 · (215) 563-7863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | CW023481 (PA) |
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 1669096244
Elijah Jagger Jackson, LCSW's National Provider Identifier is 1669096244, issued on May 30, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on May 29, 2023.