Individual provider · Type 1 NPI

Gabriel Jackson, LCSW

Clinical Social Worker · Poplar Bluff, MO

NPI number 1831880400 Active

Practice location

686 Lester St
Poplar Bluff, MO 63901-5025

Call (573) 686-1200 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1831880400

Gabriel Jackson, LCSW's National Provider Identifier is 1831880400, issued on May 16, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Poplar Bluff, MO. The record was last updated on Oct 29, 2026.