Individual provider · Type 1 NPI

Porcher Jackson

Clinical Social Worker · Chesapeake, VA

NPI number 1700448263 Active

Practice location

3804 Poplar Hill Rd Unit D
Chesapeake, VA 23321-5532

Call (757) 414-6427 Map

Mailing address

1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904008105 (VA)

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 1700448263

Porcher Jackson's National Provider Identifier is 1700448263, issued on Jul 5, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chesapeake, VA. The record was last updated on Jul 5, 2019.