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

SUSAN JACKSON, LCSW

Active

SUSAN JACKSON, LCSW is a Clinical Social Worker healthcare provider located in CHAMPAIGN, Illinois. NPI 1740925825 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHAMPAIGN, IL

Registration Details

NPI Number
1740925825
Provider Type
Individual
Gender
Female
NPI Issued
May 3, 2022 (4.2381748276082 yrs)
Last Updated
May 3, 2022

Practice Information

Address
2301 W BRADLEY AVE
CHAMPAIGN, IL, 618211849
Browse IL providers · Browse ZIP 61821
Phone
5743874313
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CHAMPAIGN, IL

Name Credential NPI
MS. SANDRA KAY FERGUSON LCSW 1538157961
MR. GREGORY ALAN WHICKER MSW, LCSW 1487670659
MR. STEPHEN HIGGINS LCSW 1730193376
LAURELYN HODGES CROPEK LCSW 1922010701
CHRISTINE MARIE MAYER LCSW 1093727885
MR. NICHOLAS MACKENZIE BRIDGETT LCSW 1306858592
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.