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

DOMINIQUE JACKSON, LCSW

Active

DOMINIQUE JACKSON, LCSW is a Clinical Social Worker healthcare provider located in VALPARAISO, Indiana. NPI 1891382339 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · VALPARAISO, IN

Registration Details

NPI Number
1891382339
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2020 (5.5776452164285 yrs)
Last Updated
Feb 25, 2026
Licenses
34009080A (IN)
34009080A (IN)
149.028567 (IL)

Practice Information

Address
2106 MORTHLAND DR UNIT 1086
VALPARAISO, IN, 463835914
Browse IN providers · Browse ZIP 46383
Phone
2195085646
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in VALPARAISO, IN

Name Credential NPI
MS. ERIN STEWART LCSW 1780677542
GLORIA ROSE POTTER LCSW 1235126277
SANDRA R CARLSON LCSW, LMFT 1609865351
MR. JEFFREY GATCH MSW 1891784997
MS. JODY ANN PASSAFUME M.ED 1447249438
MRS. SANDRA L. KRITENBRINK MSW, LCSW 1376534073
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.