Deborah Lee Jackson in Chicago - Clinical
Deborah Lee Jackson - NPI 1003006842
Deborah Lee Jackson is a Clinical in Chicago, Illinois. Deborah Lee Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deborah Lee Jackson is 1003006842. The last update date is 2007-07-27.
Deborah Lee Jackson's current location address is 2820 W. Peterson Ave, Chicago, Illinois. You can contact this provider via phone number 7732938437 and fax number 7737284751. The mailing address for Deborah Lee Jackson is 2820 W. Peterson Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Lee Jackson |
|---|---|
| Address | 2820 W. Peterson Ave, Chicago, Illinois |
| Phone Number | 7732938437 |
| Fax Number | 7737284751 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1003006842 |
|---|---|
| Provider Enumeration Date | 2007-07-27 |
| Last Updated Date | 2007-07-27 |
Provider Mailing Address Detail
| Address | 2820 W. Peterson Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60659 |
| Phone Number | 7732938437 |
| Fax Number | 7737284751 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Deborah Lee Jackson by the Centers for Medicare & Medicaid Services?
The Deborah Lee Jackson has been issued the NPI (National Provider Identifier) 1003006842 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Deborah Lee Jackson's physical address?
The Deborah Lee Jackson is physically located at 2820 W. Peterson Ave, in the city of Chicago, IL, with the postal code 60659.
What is Deborah Lee Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Deborah Lee Jackson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When was the Deborah Lee Jackson's 1003006842 issued?
The Deborah Lee Jackson's 1003006842 was issued on 2007-07-27.
When was the Deborah Lee Jackson's information last updated?
The Deborah Lee Jackson's information was last updated on 2007-07-27.
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