VADA JACKSON LISW
NPI 1356703029
Social Worker - Clinical in Sharonville, OH

Active since March 22, 2016
11156 CANAL RD, SHARONVILLE, OH 45241(513) 772-6626 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vada Jackson Lisw NPPES

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

VADA JACKSON LISW (NPI 1356703029) is an individual clinical provider in Sharonville, Ohio, licensed in Ohio (I 1502383) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1356703029
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameVADA JACKSONCredential: LISW
Location Address11156 CANAL RDSharonville, OH 45241-5815
Mailing Address1840 Fairfax AveCincinnati, OH 45207-1812 · (513) 772-6166
Sole ProprietorYes
Enumeration DateMarch 22, 2016
NPI 1356703029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OH · I 1502383
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.

11156 CANAL RD, Sharonville, OH 45241

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.

Community Health Worker
11156 CANAL RD
CINCINNATI, OH 45241
Social Worker
11156 CANAL RD
CINCINNATI, OH 45241
Case Manager/Care Coordinator
11156 CANAL RD
CINCINNATI, OH 45241
Social Worker
11156 CANAL RD
CINCINNATI, OH 45241
Case Manager/Care Coordinator
11156 CANAL RD
CINCINNATI, OH 45241
Social Worker
11156 CANAL RD
CINCINNATI, OH 45241
Social Worker
11156 CANAL RD
CINCINNATI, OH 45241
Social Worker
11156 CANAL RD
SHARONVILLE, OH 45241

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356703029, enumerated as an "individual" on March 22, 2016.

The provider is located at 11156 CANAL RD SHARONVILLE, OH 45241 and the phone number is (513) 772-6626.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.