Individual provider · Type 1 NPI

Stefani Michon Jackson, LCSW-C

Clinical Social Worker · Lawrenceville, GA

NPI number 1669134839 Active

Practice location

880 Sunny Lake Dr
Lawrenceville, GA 30043-4562

Call (301) 284-8176 Map

Mailing address

1531 Rockville Pike Ste 1043
Rockville, MD 20852-1601

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X24016 (MD)

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 1669134839

Stefani Michon Jackson, LCSW-C's National Provider Identifier is 1669134839, issued on Oct 6, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lawrenceville, GA. The record was last updated on Dec 16, 2024.