Individual provider · Type 1 NPI

Philip Morgan Jackson, LMSW

Clinical Social Worker · Auburn, ME

NPI number 1780836437 Active

Practice location

220 Danville Corner Rd
Auburn, ME 04210-8605

Call (207) 795-0419 Map

Fax (207) 795-0485

Mailing address

899 Riverside St
Portland, ME 04103-1070

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLM11566 (ME)

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 1780836437

Philip Morgan Jackson, LMSW's National Provider Identifier is 1780836437, issued on Oct 14, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Auburn, ME. The record was last updated on Oct 14, 2008.