Individual provider · Type 1 NPI

Debra Jacks

Clinical Social Worker · Columbia, TN

NPI number 1770611709 Active

Practice location

Primecare 854 W James M Campbell Blvd, Ste 301
Columbia, TN 38401

Call (931) 334-5985 Map

Mailing address

104 Rita Cove
Columbia, TN 38401-3204

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	0000005246 (TN)

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 1770611709

Debra Jacks's National Provider Identifier is 1770611709, issued on Mar 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, TN. The record was last updated on Mar 26, 2026.