Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA J JACKSON, LICSW
Active Sole ProprietorSAMANTHA J JACKSON, LICSW is a Clinical Social Worker healthcare provider located in SALEM, Oregon. NPI 1265108484 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SALEM, OR
Registration Details
- NPI Number
- 1265108484
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Aug 18, 2021 (4.9471036444645 yrs)
- Last Updated
- May 8, 2024
- Licenses
-
L14321 (OR)25126 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2355 STATE ST STE 10SALEM, OR, 973014541Browse OR providers · Browse ZIP 97301
- Phone
- 5415771657
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in SALEM, OR
| Name | Credential | NPI |
|---|---|---|
| JUDY A IRVIN | L.C.S.W | 1871599134 |
| NANCY KAY GORDON | MSW LCSW | 1164421749 |
| HOWARD LAURENCE BROCKMAN | LCSW | 1508858952 |
| CARLENE BENSON | MSW, LCSW | 1528059870 |
| MS. ELLEN SHARON MARGOLIS | LCSW | 1184607822 |
| MS. CHRISTINE ROBINETTE | LCSW | 1568448231 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.