Individual provider · Type 1 NPI
Mary Yvette Jackson-Webb, LCSW, LAC, MAC, CIMHP
Clinical Social Worker · Colorado Springs, CO
Practice location
2790 N Academy Blvd Bldg SUITE206
Colorado Springs, CO 80917-5337
Mailing address
2790 N Academy Blvd Ste 206
Colorado Springs, CO 80917-5328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAC1914 (CO) |
| Clinical Social Worker Primary | 1041C0700X | CSW09927388 (CO) |
| Nutritionist | 133N00000X | None 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 1891220935
Mary Yvette Jackson-Webb, LCSW, LAC, MAC, CIMHP's National Provider Identifier is 1891220935, issued on Apr 26, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Sep 30, 2026.