Individual provider · Type 1 NPI
Stacy Jackson, LCSW
Clinical Social Worker · Chicago, IL
Practice location
222 N Columbus Dr Apt 1309
Chicago, IL 60601-7947
Fax (312) 415-1982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.012279 (IL) |
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 1285571109
Stacy Jackson, LCSW's National Provider Identifier is 1285571109, issued on Apr 29, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Apr 29, 2026.