Individual provider · Type 1 NPI

Kendaya Chin-Jackson

Clinical Social Worker · Tamarac, FL

NPI number 1710824032 Active

Practice location

7208 Woodmont Ave
Tamarac, FL 33321-2636

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26325 (FL)

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 1710824032

Kendaya Chin-Jackson's National Provider Identifier is 1710824032, issued on May 4, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tamarac, FL. The record was last updated on May 4, 2026.