Individual provider · Type 1 NPI

Katherine Noelle Jackson

Clinical Social Worker · Bay Pines, FL

NPI number 1669256806 Active

Practice location

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200

Mailing address

7101 59th St N
Pinellas Park, FL 33781-4246

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1669256806

Katherine Noelle Jackson's National Provider Identifier is 1669256806, issued on Aug 21, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bay Pines, FL. The record was last updated on Aug 21, 2023.