Individual provider · Type 1 NPI

Melody Jackson, LCSW

Clinical Social Worker · South Holland, IL

NPI number 1619216413 Active

Practice location

1263 Prince Dr
South Holland, IL 60473-1128

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.015461 (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 1619216413

Melody Jackson, LCSW's National Provider Identifier is 1619216413, issued on Feb 14, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Holland, IL. The record was last updated on Feb 14, 2013.