Individual provider · Type 1 NPI

Jelani Leif Jackson, MSW, LICSW

Clinical Social Worker · Renton, WA

NPI number 1740532852 Active

Practice location

419 S 2nd St
Renton, WA 98057

Call (425) 203-7203 Map

Mailing address

419 S 2nd St Ste 2
Renton, WA 98057-2234

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW 60607997 (WA)

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 1740532852

Jelani Leif Jackson, MSW, LICSW's National Provider Identifier is 1740532852, issued on Oct 12, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Renton, WA. The record was last updated on Nov 15, 2016.