MRS. PATRICIA L JACKSON-ISTAS LSCSW, LCAC - NPI 1326082322

Q: What is Patricia Jackson-istas's NPI number?

The NPI number for Patricia Jackson-istas is 1326082322. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Patricia Jackson-istas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Mrs. Patricia L Jackson-istas Lscsw, Lcac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PATRICIA L JACKSON-ISTAS LSCSW, LCAC (NPI 1326082322) is an individual clinical provider in Concordia, Kansas, licensed in Kansas (3587) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1326082322

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. PATRICIA L JACKSON-ISTASCredential: LSCSW, LCAC

Location Address210 W 21ST STConcordia, KS 66901-5200

Mailing Address415 Timberwick PlManhattan, KS 66503-3054 · (785) 313-0900 · Fax (785) 537-8028

Phone(785) 243-8900

Fax(785) 243-8933

Sole ProprietorNo

Enumeration DateJune 16, 2006

Last NPPES UpdateApril 4, 2018

✔ NPI 1326082322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KS · 3587

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 468 (KS)

210 W 21ST ST, Concordia, KS 66901

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL LYNN ENNS

Counselor (Professional)