Reginald P. Jackson

Social Worker · Matteson, IL

Individual Active NPI

NPI number 1013530104

Practice location

4081 Southwick Drive
3rd Floor
Matteson, IL 60443-6044
Phone
(708) 747-2655

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NPI record

NPI
1013530104
Entity type
Individual (Type 1)
Enumeration date
May 22, 2020
Last updated
May 22, 2020
Certified
May 22, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —

Mailing address

1524 Shirley Dr Ste 2008
Calumet City, IL 60409-6213
Phone
(708) 288-4033

Other practice locations (1)

  • 1902 W Cermak Rd Ste 2008, Chicago, IL 60608-4204 · (773) 596-9045

About Reginald Jackson

Reginald P. Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 4081 Southwick Drive, 3rd Floor, Matteson, IL 60443-6044. The NPI number 1013530104 was assigned on May 22, 2020 and the record was last updated on May 22, 2020.

Frequently asked questions

What is the NPI number of Reginald P. Jackson?

The NPI number is 1013530104.

What is the phone number of Reginald Jackson?

The phone number listed for the practice location is (708) 747-2655.

Where is Reginald Jackson located?

4081 Southwick Drive, 3rd Floor, Matteson, IL 60443-6044.

What is the taxonomy code for Reginald Jackson?

The primary taxonomy code is 104100000X – 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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