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MR. CLARK KENT JACKSON MSW
NPI 1962508192
Social Worker - Clinical in Yakima, WA

Active since September 15, 2006
6 S 2ND ST, STE 918, YAKIMA, WA 98901(509) 961-8233(509) 962-2286 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Clark Kent Jackson Msw NPPES

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

MR. CLARK KENT JACKSON MSW (NPI 1962508192) is an individual clinical provider in Yakima, Washington, licensed in Washington (LW6908) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1962508192
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CLARK KENT JACKSONCredential: MSW
Location Address6 S 2ND ST, STE 918Yakima, WA 98901-2632
Mailing Address2004 E 1st AveEllensburg, WA 98926-9021 · (509) 933-4803 · Fax (509) 962-2286
Phone(509) 961-8233
Fax(509) 962-2286
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962508192 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 WA · LW6908
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.
6 S 2ND ST, Yakima, WA 98901
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

REY GONZALEZ SOCIAL WORK, PLLC
Preferred Provider Organization
6 S 2ND ST, SUITE #710
YAKIMA, WA 98901
Yakima County (509) 930-9111
KRISTAL MATA
Counselor (Mental Health)
6 S 2ND ST
YAKIMA, WA 98901
Yakima County (509) 823-0095
PATRICIA E BYERS MS, NCP, LMHC
Counselor (Mental Health)
6 S 2ND ST, SUITE 907
YAKIMA, WA 98901
Yakima County (509) 469-0609
JOYCE MARIE JOY M.S.W.
Social Worker (Clinical)
6 S 2ND ST, STE 403
YAKIMA, WA 98901
Yakima County (509) 457-8846
MRS. JUDITH ANN LANDVOY MA
Counselor (Mental Health)
6 S 2ND ST, SUITE 307
YAKIMA, WA 98901
Yakima County (509) 965-2494
EMILY E SHOEMAKER
Marriage & Family Therapist
6 S 2ND ST, SUITE 206
YAKIMA, WA 98901
Yakima County (509) 571-3137
MS. KATHLEEN J KINKEAD LMP
Massage Therapist
6 S 2ND ST, SUITE 710
YAKIMA, WA 98901
Yakima County (509) 895-7888
MR. ANTHONY E STONE LCSW
Social Worker (Clinical)
6 S 2ND ST, SUITE 316
YAKIMA, WA 98901
Yakima County (541) 480-8014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Jackson's NPI number?

The NPI number for Clark Jackson is 1962508192. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Clark Jackson located?

Clark Jackson practices at 6 S 2nd St Ste 918, Yakima, WA 98901. The listed phone number is (509) 961-8233.

What is Clark Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Clark Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.