Individual provider · Type 1 NPI
Diane Rene Jackson, LMSW-ACP
Clinical Social Worker · O Fallon, IL
Practice location
1129 Hightower Place Dr
O Fallon, IL 62269-7069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 31356 (TX) |
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 1922160720
Diane Rene Jackson, LMSW-ACP's National Provider Identifier is 1922160720, issued on Dec 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in O Fallon, IL. The record was last updated on Nov 9, 2007.