Individual provider · Type 1 NPI

Keanu Maliq Jackson, LCSW

Social Worker · Brooklyn, NY

NPI number 1740807411 Active

Practice location

836 Bergen St Apt 112
Brooklyn, NY 11238-7455

Call (772) 834-8567 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X096448 (NY)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1740807411

Keanu Maliq Jackson, LCSW's National Provider Identifier is 1740807411, issued on Jun 29, 2020. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 17, 2025.