# MR. JACKSON STONE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1669046538
- **Gender:** Man
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904014798 | VA | — |
| 1041C0700X | Clinical Social Worker | 137308 | CA | — |
| 1041C0700X | Clinical Social Worker | 149030424 | IL | — |
| 1041C0700X | Clinical Social Worker | 18961 | LA | — |
| 1041C0700X | Clinical Social Worker | LC200001787 | DC | Yes |

## Other

- **Enumeration date:** 05/16/2021
- **Last updated:** 08/14/2026