Individual provider · Type 1 NPI

Addison Jackson Jr., LCSW

Clinical Social Worker · Richton Park, IL

NPI number 1821648668 Active

Practice location

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

Call (708) 983-8074 Map

Mailing address

3715 Village Dr
Hazel Crest, IL 60429-2444

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.021059 (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 1821648668

Addison Jackson Jr., LCSW's National Provider Identifier is 1821648668, issued on Sep 13, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richton Park, IL. The record was last updated on Mar 9, 2023.