Individual provider · Type 1 NPI
Kimberly Lynn Jackson, LCSW
Clinical Social Worker · Providence, RI
Practice location
1570 Westminster St
Providence, RI 02909
Fax (866) 315-9450
Mailing address
1500 Chestnut St., Suite 2 #1497
Philadelphia, PA 19102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | ISW01815 (RI) |
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…
4 other providers at this address
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- Christina Stang, LICSWClinical Social Worker Providence, RI NPI 1003354234
- Elizabeth SevinClinical Social Worker Providence, RI NPI 1003364076
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About NPI 1841315975
Kimberly Lynn Jackson, LCSW's National Provider Identifier is 1841315975, issued on Mar 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Aug 2, 2022.