Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FAY E JACKSON, LCSW, CADC
ActiveFAY E JACKSON, LCSW, CADC is a Clinical Social Worker healthcare provider located in ST. CHARLES, Illinois. NPI 1871825984 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ST. CHARLES, IL
Registration Details
- NPI Number
- 1871825984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2010 (16.509744485646 yrs)
- Last Updated
- Feb 1, 2010
- Licenses
-
14095 (IL)149-010374 (IL)
Practice Information
- Address
-
3140 W ROUTE 64ST. CHARLES, IL, 60175Browse IL providers · Browse ZIP 60175
- Phone
- 6305875631
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
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.