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Kelly Faye Jackson, LCSW
Clinical Social Worker in Columbia, Missouri
NPI 1598180630

Kelly Faye Jackson is a Clinical Social Worker based in Columbia, MO and is specialized in Clinical. Kelly Faye Jackson practices in Columbia, MO and has the professional credentials of LCSW. The NPI Number for Kelly Faye Jackson is 1598180630 and holds a License No. 2015020177 (Missouri).

The current practice location address for Kelly Faye Jackson is 409 Vandiver Dr, Columbia, MO and can be reached out via phone at 573-289-0792 and via fax at 573-442-7505.

Location: 409 Vandiver Dr, Columbia, MO, 65202-3862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598180630
Provider Name
Kelly Faye Jackson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
409 Vandiver Dr, Columbia, MO, 65202-3862
Phone Number
573-289-0792
Fax Number
573-442-7505
Provider Enumeration Date
02/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
133585346 01 MO CAQH
2015020177 01 MO LCSW LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
409 Vandiver Dr
City
Columbia
State
Missouri
Zip
65202-3754
Phone Number
573-289-0792
Fax Number
573-442-7505
person
Provider Business Mailing Address Details
Address
409 Vandiver Dr
City
Columbia
State
Missouri
Zip
65202-3754
Phone Number
573-289-0792
Fax Number
573-442-7505
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
2015020177 (Missouri)
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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