Individual provider · Type 1 NPI

Susan Jackson, LCSW

Clinical Social Worker · Champaign, IL

NPI number 1740925825 Active

Practice location

2301 W Bradley Ave
Champaign, IL 61821-1849

Call (574) 387-4313 Map

Mailing address

1824 Touby Pike Ste B
Kokomo, IN 46901-2573

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1740925825

Susan Jackson, LCSW's National Provider Identifier is 1740925825, issued on May 3, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on May 3, 2022.