Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JACKSON
ActiveKELLY JACKSON is a Clinical Social Worker healthcare provider located in CEDAR LAKE, Indiana. NPI 1407522428 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CEDAR LAKE, IN
Registration Details
- NPI Number
- 1407522428
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2021 (4.9666186699159 yrs)
- Last Updated
- Aug 19, 2021
- License
-
34006136A (IN)
Practice Information
- Address
-
11631 CEDAR STCEDAR LAKE, IN, 463037290Browse IN providers · Browse ZIP 46303
- Phone
- 2196828211
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in CEDAR LAKE, IN
| Name | Credential | NPI |
|---|---|---|
| TERRY HARMAN | LCSW | 1568687937 |
| MRS. TRACI L NOBLE | MSW, LCSW | 1184840852 |
| MARGARET PARKER | LCSW | 1962811844 |
| DR. KRISTIN ANN HUSEMAN | DSW LCSW | 1760170633 |
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.