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Ms. Michelle Marie Jack, LCSW
Mental Health Counselor in San Diego, California
NPI 1386043503

Michelle Marie Jack is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Michelle Marie Jack practices in San Diego, CA and has the professional credentials of LCSW. The NPI Number for Michelle Marie Jack is 1386043503 and holds a License No. LCSW96801 (California).

The current practice location address for Michelle Marie Jack is 409 Camino Del Rio S Ste 201, San Diego, CA and can be reached out via phone at 619-813-9184.

Location: 409 Camino Del Rio S Ste 201, San Diego, CA, 92108-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386043503
Provider Name
Michelle Marie Jack
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
409 Camino Del Rio S Ste 201, San Diego, CA, 92108-3505
Phone Number
619-813-9184
Fax Number
Provider Enumeration Date
08/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
409 Camino Del Rio S Ste 201
City
San Diego
State
California
Zip
92108-3505
Phone Number
619-813-9184
Fax Number
person
Provider Business Mailing Address Details
Address
409 Camino Del Rio S Ste 201
City
San Diego
State
California
Zip
92108-3505
Phone Number
619-813-9184
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LCSW96801 (California)
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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