Addison Jackson Jr., LCSW

Clinical Social Worker · Richton Park, IL

Individual Active NPI

NPI number 1821648668

Practice location

4137 Sauk Trl Ste 146
Richton Park, IL 60471-1253
Phone
(708) 983-8074

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NPI record

NPI
1821648668
Entity type
Individual (Type 1)
Enumeration date
September 13, 2019
Last updated
March 9, 2023
Certified
March 9, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.021059 IL

Mailing address

3715 Village Dr
Hazel Crest, IL 60429-2444
Phone
(708) 983-8074

About Addison Jackson

Addison Jackson Jr., LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 4137 Sauk Trl Ste 146, Richton Park, IL 60471-1253. The NPI number 1821648668 was assigned on September 13, 2019 and the record was last updated on March 9, 2023.

Addison Jackson lists a license in the registry: #149.021059 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Addison Jackson Jr., LCSW?

The NPI number is 1821648668.

What is the phone number of Addison Jackson?

The phone number listed for the practice location is (708) 983-8074.

Where is Addison Jackson located?

4137 Sauk Trl Ste 146, Richton Park, IL 60471-1253.

What is the taxonomy code for Addison 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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