Individual provider · Type 1 NPI

Mark D. Jackman Jr.

Clinical Social Worker · San Diego, CA

NPI number 1801502455 Active

Practice location

4930 Naples St
San Diego, CA 92110-3820

Call (619) 276-1176 Map

Mailing address

3491 Kurtz St Ste 150
San Diego, CA 92110-4430

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW136467 (CA)

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 1801502455

Mark D. Jackman Jr.'s National Provider Identifier is 1801502455, issued on Jan 26, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 20, 2026.