Individual provider · Type 1 NPI

Dominique Jackson, LCSW

Clinical Social Worker · Valparaiso, IN

NPI number 1891382339 Active

Practice location

2106 Morthland Dr Unit 1086
Valparaiso, IN 46383-5914

Mailing address

3009 Winter Garden Dr
Valparaiso, IN 46385-7140

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34009080A (IN)
Social Worker 104100000X34009080A (IN)
Clinical Social Worker 1041C0700X149.028567 (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 1891382339

Dominique Jackson, LCSW's National Provider Identifier is 1891382339, issued on Dec 30, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Valparaiso, IN. The record was last updated on Feb 25, 2026.