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Kim Elaine Jackson, LICSW
Clinical Social Worker in Oakland, California
NPI 1184275166

Kim Elaine Jackson is a Clinical Social Worker based in Washington, CA and is specialized in Clinical. Kim Elaine Jackson practices in Oakland, CA and has the professional credentials of LICSW. The NPI Number for Kim Elaine Jackson is 1184275166 and holds a License No. LC50082406 (California).

The current practice location address for Kim Elaine Jackson is 4909 Davenport Ave, Oakland, CA and can be reached out via phone at 206-549-4668 and via fax at 206-568-7043.

Location: 4909 Davenport Ave, Oakland, CA, 20003-2202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184275166
Provider Name
Kim Elaine Jackson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
4909 Davenport Ave, Oakland, CA, 20003-2202
Phone Number
206-549-4668
Fax Number
206-568-7043
Provider Enumeration Date
09/22/2019
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2229463 05 DC
2229463 05 WA
institution
Provider Business Practice Location Address Details
Address
4909 Davenport Ave
City
Oakland
State
California
Zip
94619-2920
Phone Number
206-549-4668
Fax Number
206-568-7043
person
Provider Business Mailing Address Details
Address
4909 Davenport Ave
City
Oakland
State
California
Zip
94619-2920
Phone Number
206-549-4668
Fax Number
206-568-7043
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LC50082406 (District of Columbia)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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