Individual provider · Type 1 NPI

Sally A. Jackson, LCSW

Clinical Social Worker · Madison, WI

NPI number 1831607001 Active

Practice location

6502 Grand Teton Plz
Madison, WI 53719-1047

Fax (608) 827-7220

Mailing address

6400 Industrial Loop
Greendale, WI 53129-2452

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9167-123 (WI)

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 1831607001

Sally A. Jackson, LCSW's National Provider Identifier is 1831607001, issued on Jan 22, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Feb 7, 2020.