Individual provider · Type 1 NPI

Cora Denise Jackson, DSW, LCSW, ACSW

Clinical Social Worker · Vicksburg, MS

NPI number 1689488876 Active

Practice location

1911 Mission 66 Ste B
Vicksburg, MS 39180-3762

Call (601) 456-2598 Map

Fax (855) 830-3484

Mailing address

215 Katherine Dr Ste A
Flowood, MS 39232-9588

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC-11310 (MS)

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 1689488876

Cora Denise Jackson, DSW, LCSW, ACSW's National Provider Identifier is 1689488876, issued on Feb 6, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vicksburg, MS. The record was last updated on Feb 6, 2025.