Individual provider · Type 1 NPI

Samantha Jeckering

Clinical Social Worker · Fairborn, OH

NPI number 1841967486 Active

Practice location

323 N Broad St
Fairborn, OH 45324-4934

Call (937) 318-8103 Map

Fax (937) 400-2347

Mailing address

5879 Overbrooke Rd
Centerville, OH 45440-2333

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 1841967486

Samantha Jeckering's National Provider Identifier is 1841967486, issued on Aug 23, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairborn, OH. The record was last updated on Aug 23, 2021.