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MS. DEBORAH LEE JACKSON LCSW NPI 1003006842


NPI Profile

NPI: 1003006842
Provider Name: MS. DEBORAH LEE JACKSON, LCSW
Classification:Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
2820 W PETERSON AVE
CHICAGO, IL
ZIP 60659
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Phone: (773) 293-8437

MS. Deborah Lee Jackson, LCSW is a clinical social worker in Chicago, IL. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MS. Deborah Lee Jackson, LCSW NPI is 1003006842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2820 W PETERSON AVE
CHICAGO, IL
ZIP 60659-803
Phone: (773) 293-8437
Fax: (773) 728-4751

The enumeration date for this NPI number is 7/27/2007 and was last updated on 7/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

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