TIFFANY CHAVON JACKSON
NPI 1619893807
Social Worker - Clinical in Saint Louis, MO
About Tiffany Chavon Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY CHAVON JACKSON (NPI 1619893807) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2025044034) and active in the NPI registry since June 2026.
NPPES Registry Identity
Specialties & Licenses
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619893807, enumerated as an "individual" on June 24, 2026.
The provider is located at 5022 POTOMAC ST SAINT LOUIS, MO 63139 and the phone number is (314) 688-0635.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
