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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ONTONIO JACKSON-LUCAS

Active

ONTONIO JACKSON-LUCAS is a Clinical Social Worker healthcare provider located in GLENWOOD, Illinois. NPI 1538946702 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · GLENWOOD, IL

Registration Details

NPI Number
1538946702
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2023 (2.8839816409625 yrs)
Last Updated
Sep 12, 2023
License
150.111442 (IL)

Practice Information

Address
626 E GLENWOOD DYER RD
GLENWOOD, IL, 604252227
Browse IL providers · Browse ZIP 60425
Phone
7089839044
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in GLENWOOD, IL

Name Credential NPI
JASMINE STEPHENS 1255785770
ASHLEY KENDRICK 1508377516
DIANE SCRUGGS 1750842399
SHANIQUA TOMLIN LSW 1912608332
MONIQUE SHIQUITA ASKEW LMSW 1306685714
CHRISTINA C ADAMS LCSW 1588544753
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.