Individual provider · Type 1 NPI

Michael Robert Jackson, CSW

Clinical Social Worker · Springville, UT

NPI number 1780191668 Active

Practice location

1220 N Main St Ste 10
Springville, UT 84663-4016

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X118051-3502 (UT)

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 1780191668

Michael Robert Jackson, CSW's National Provider Identifier is 1780191668, issued on Jan 2, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springville, UT. The record was last updated on Jan 2, 2018.