Individual provider · Type 1 NPI

Carol Jackson, LISW - S, LICDC

Clinical Social Worker · Fayetteville, AR

NPI number 1710180872 Active

Practice location

1100 N College Ave
Fayetteville, AR 72703-1944

Call (479) 444-4044 Map

Mailing address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI 0028219 (OH)

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 1710180872

Carol Jackson, LISW - S, LICDC's National Provider Identifier is 1710180872, issued on Jun 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, AR. The record was last updated on May 26, 2015.