Individual provider · Type 1 NPI

Clark Kent Jackson, MSW

Clinical Social Worker · Yakima, WA

NPI number 1962508192 Active

Practice location

6 S 2nd St, Ste 918
Yakima, WA 98901-2632

Call (509) 961-8233 Map

Fax (509) 962-2286

Mailing address

2004 E 1st Ave
Ellensburg, WA 98926-9021

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW6908 (WA)

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 1962508192

Clark Kent Jackson, MSW's National Provider Identifier is 1962508192, issued on Sep 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Yakima, WA. The record was last updated on Jul 8, 2007.