NPI 1003006842

Deborah Lee Jackson, LCSW

Practitioner Clinical Social Worker Chicago, IL

Practice location

Address: 2820 W Peterson Ave, Chicago, IL 60659-3803
Phone: (773) 293-8437
Fax: (773) 728-4751
Mailing address: 2820 W. Peterson Ave, Chicago, IL 60659

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Illinois →

Registry record

NPI: 1003006842
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2007
Record last updated: 27 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.