Individual provider · Type 1 NPI

Holli Vern Jackson, MSW

Clinical Social Worker · Bethel, AK

NPI number 1699100511 Active

Practice location

829 Chief Eddie Hoffman Hwy
Bethel, AK 99559

Call (907) 543-6100 Map

Fax (907) 543-6159

Mailing address

PO Box 528
Bethel, AK 99559-0528

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X27403 (CA)
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 1699100511

Holli Vern Jackson, MSW's National Provider Identifier is 1699100511, issued on Sep 10, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bethel, AK. The record was last updated on Nov 20, 2019.