Individual provider · Type 1 NPI

Angela Jackson, LISW-CP

Clinical Social Worker · Irmo, SC

NPI number 1922511419 Active

Practice location

1180 Columbia Ave Ste 101
Irmo, SC 29063-2890

Fax (803) 830-3873

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700X13959 (SC)

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 1922511419

Angela Jackson, LISW-CP's National Provider Identifier is 1922511419, issued on Nov 7, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Irmo, SC. The record was last updated on Apr 14, 2023.