Individual provider · Type 1 NPI

Mirissa Jackson

Clinical Social Worker · Cantonment, FL

NPI number 1831757905 Active

Practice location

3771 Stefani Rd
Cantonment, FL 32533-7795

Call (850) 607-6910 Map

Fax (850) 607-6932

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25215 (MD)

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 1831757905

Mirissa Jackson's National Provider Identifier is 1831757905, issued on Jun 3, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cantonment, FL. The record was last updated on Mar 24, 2025.