Individual provider · Type 1 NPI

Deborah Lee Jackson, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1003006842 Active

Practice location

2820 W Peterson Ave
Chicago, IL 60659-3803

Fax (773) 728-4751

Mailing address

2820 W. Peterson Ave
Chicago, IL 60659

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1003006842

Deborah Lee Jackson, LCSW's National Provider Identifier is 1003006842, issued on Jul 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 27, 2007.