MS. DEBORAH LEE JACKSON LCSW NPI 1003006842
Social Worker - Clinical in Chicago, IL

Individual Female Social Worker Clinical

About MS. DEBORAH LEE JACKSON LCSW

Deborah Jackson is a provider established in Chicago, Illinois and her medical specialization is Social Worker with a focus in clinical . The NPI number of Deborah Jackson is 1003006842 and was assigned on July 2007. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1003006842
Provider NameMS. DEBORAH LEE JACKSON LCSW
Provider Location Address2820 W PETERSON AVE CHICAGO, IL 60659
Provider Mailing Address2820 W. PETERSON AVE CHICAGO, IL 60659
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date07-27-2007
Last Update Date07-27-2007

A clinical social worker like Ms. Deborah Lee Jackson Lcsw is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals..

Deborah Jackson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License StateIL
Taxonomy DescriptionA 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Business Address

MS. DEBORAH LEE JACKSON LCSW
2820 W PETERSON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 293-8437
Fax: (773) 728-4751

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Mailing Address

MS. DEBORAH LEE JACKSON LCSW
2820 W. PETERSON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 293-8437
Fax: (773) 728-4751


NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003006842
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001288
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 2 + 8 + 8 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003006842 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659449106DR. SOMBOON SRIAROON M.D.
Individual
Obstetrics & Gynecology (Obstetrics)2820 W PETERSON AVE
CHICAGO, IL 60659
(773) 761-0300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Ms. Deborah Lee Jackson Lcsw is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.