Individual provider · Type 1 NPI

Jay Brian Jackson, LCSW

Clinical Social Worker · Russellville, MO

NPI number 1730847534 Active

Practice location

13722 Jefferson Rd
Russellville, MO 65074-2006

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2002031992 (MO)

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…

About NPI 1730847534

Jay Brian Jackson, LCSW's National Provider Identifier is 1730847534, issued on Nov 30, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Russellville, MO. The record was last updated on Nov 30, 2021.