Deborah Lee Jackson, LCSW

Clinical Social Worker · Chicago, IL

Individual Active NPI

NPI number 1003006842

Practice location

2820 W Peterson Ave
Chicago, IL 60659-3803
Phone
(773) 293-8437
Fax
(773) 728-4751

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NPI record

NPI
1003006842
Entity type
Individual (Type 1)
Enumeration date
July 27, 2007
Last updated
July 27, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — IL

Mailing address

2820 W. Peterson Ave
Chicago, IL 60659
Phone
(773) 293-8437
Fax
(773) 728-4751

About Deborah Jackson

Deborah Lee Jackson, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 2820 W Peterson Ave, Chicago, IL 60659-3803. The NPI number 1003006842 was assigned on July 27, 2007 and the record was last updated on July 27, 2007.

Frequently asked questions

What is the NPI number of Deborah Lee Jackson, LCSW?

The NPI number is 1003006842.

What is the phone number of Deborah Jackson?

The phone number listed for the practice location is (773) 293-8437.

Where is Deborah Jackson located?

2820 W Peterson Ave, Chicago, IL 60659-3803.

What is the taxonomy code for Deborah Jackson?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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