Individual provider · Type 1 NPI

Tahira Naomi Jackson, LCSW

Clinical Social Worker · Philadelphia, PA

NPI number 1912797762 Active

Practice location

1626 Locust St
Philadelphia, PA 19103-6305

Call (646) 941-7645 Map

Other practice locations

  • 322 N Shore Dr, Pittsburgh, PA 15212-5875 · (646) 941-7645

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW025834 (PA)

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 1912797762

Tahira Naomi Jackson, LCSW's National Provider Identifier is 1912797762, issued on May 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on May 7, 2025.