Individual provider · Type 1 NPI

Mary Sebrena Jackson, LCSW

Clinical Social Worker · Mcdonough, GA

NPI number 1700186707 Active

Practice location

450 Racetrack Rd
Mcdonough, GA 30252-6837

Call (770) 305-9881 Map

Fax (678) 565-4626

Mailing address

PO Box 123
Mcdonough, GA 30253-0123

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW004250 (GA)

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 1700186707

Mary Sebrena Jackson, LCSW's National Provider Identifier is 1700186707, issued on Oct 25, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mcdonough, GA. The record was last updated on Oct 25, 2010.