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

DIANE RENE JACKSON, LMSW-ACP

Active

DIANE RENE JACKSON, LMSW-ACP is a Clinical Social Worker healthcare provider located in O FALLON, Illinois. NPI 1922160720 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · O FALLON, IL

Registration Details

NPI Number
1922160720
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2006 (19.648557414588 yrs)
Last Updated
Nov 9, 2007
License
31356 (TX)

Practice Information

Address
1129 HIGHTOWER PLACE DR
O FALLON, IL, 622697069
Browse IL providers · Browse ZIP 62269
Phone
6186280886
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in O FALLON, IL

Name Credential NPI
MS. ELLA M. DUNCAN LCSW 1386620375
MRS. CHRISTIANNE MEIER JUDY MSW, LCSW 1023186806
MRS. MARY SUZANNE WOLFENBARGER LCSW 1962558114
KIMBERLY ANN STEVENS LCSW 1417100504
MRS. CARMEN JEAN SCHOTT LCSW, LISW 1134365182
MR. JAMES JOSEPH HARTING LCSW 1932337409
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.