Individual provider · Type 1 NPI

Mary P. Jackson, LCSWA

Clinical Social Worker · Winston Salem, NC

NPI number 1922626191 Active

Practice location

4035 University Pkwy Ste 101
Winston Salem, NC 27106-3275

Mailing address

2648 Randelman Rd
Greensboro, NC 27406-5108

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP014930 (NC)

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 1922626191

Mary P. Jackson, LCSWA's National Provider Identifier is 1922626191, issued on Jul 13, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 2, 2020.