Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID JACKSON, LICSW
ActiveDAVID JACKSON, LICSW is a Clinical Social Worker healthcare provider located in PINE CITY, Minnesota. NPI 1548972425 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PINE CITY, MN
Registration Details
- NPI Number
- 1548972425
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2022 (3.4655728660262 yrs)
- Last Updated
- Dec 22, 2022
- License
-
21551 (MN)
Practice Information
- Address
-
220 RAILROAD ST SEPINE CITY, MN, 550631540Browse MN providers · Browse ZIP 55063
- Phone
- 3206297600
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PINE CITY, MN
| Name | Credential | NPI |
|---|---|---|
| JOAN MARIE SCHROEDER | LICSW | 1700139995 |
| JONELLE KLEMZ | MSW, LICSW | 1427429596 |
| MITCHELL LEE DEMERS | MSW, LICSW | 1275990277 |
| BRENNA LYN MACDONALD | MSW, LICSW | 1346692886 |
| JOHANNA LYNN HAUCK | MSW, LICSW | 1356827521 |
| MRS. KELLY ANN BUCHTA | MSW, LICSW | 1114495827 |
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.