Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAMIEN JACKSON
Active Sole ProprietorDAMIEN JACKSON is a Clinical Social Worker healthcare provider located in MUNDELEIN, Illinois. NPI 1588256424 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MUNDELEIN, IL
Registration Details
- NPI Number
- 1588256424
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2021 (5.4892987866114 yrs)
- Last Updated
- Feb 10, 2021
- License
-
149021097 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 MAPLEWOOD AVEMUNDELEIN, IL, 600604129Browse IL providers · Browse ZIP 60060
- Phone
- 7732344808
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MUNDELEIN, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. DEBORAH ANN MAY | LCSW | 1811950785 |
| JENIFER MARIE BRICKMAN | LCSW | 1811951296 |
| MS. KAREN LYNN WOLOWNIK | LCSW | 1255369864 |
| MS. SARALYNN WINGARD REEDY | LCSW | 1457368177 |
| MR. EDWARD PAUL STITH | MSW LCSW ACSW TYPE 7 | 1093801011 |
| DAWN K LIVORSI | LCSW | 1548318918 |
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.