Individual provider · Type 1 NPI

Robert Donald Jackson

Clinical Social Worker · Lyons, NJ

NPI number 1881003655 Active

Practice location

151 Knollcroft Rd # 116D
Lyons, NJ 07939-5001

Fax (908) 604-5836

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X059696 (NY)

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 1881003655

Robert Donald Jackson's National Provider Identifier is 1881003655, issued on Aug 6, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lyons, NJ. The record was last updated on Aug 6, 2014.