Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REGINALD P JACKSON
ActiveREGINALD P JACKSON is a Social Worker healthcare provider located in MATTESON, Illinois. NPI 1013530104 is currently active in the NPPES registry. Verify at CMS.
Social Worker · MATTESON, IL
Registration Details
- NPI Number
- 1013530104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2020 (6.2320861705343 yrs)
- Last Updated
- May 22, 2020
Practice Information
- Address
-
4081 SOUTHWICK DRIVE3RD FLOORMATTESON, IL, 604436044Browse IL providers · Browse ZIP 60443
- Phone
- 7087472655
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in MATTESON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. BARBARA S MOTLONG | MSW LCSW | 1639263528 |
| MRS. DYANN K BOCKSTAHLER | MSW LCSW | 1922192814 |
| MR. JOHN MARTIN MCDONNELL | MSW LCSW | 1942394846 |
| MS. MARGARET HAZENBUSH | MSW LCSW | 1336233238 |
| DR. WILLIAM K MOTLONG | PHD LCSW | 1477647378 |
| MS. NINA M WILLIAMS | LCSW | 1639359698 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.