REGINALD P JACKSON
NPI 1013530104
Social Worker in Matteson, IL

Q: What is Reginald Jackson's NPI number?

The NPI number for Reginald Jackson is 1013530104. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Q: What is Reginald Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Reginald Jackson was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2020

4081 SOUTHWICK DRIVE, 3RD FLOOR, MATTESON, IL 60443(708) 747-2655 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Reginald P Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINALD P JACKSON (NPI 1013530104) is an individual social worker in Matteson, Illinois and active in the NPI registry since May 2020. He maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1013530104

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameREGINALD P JACKSON

Location Address4081 SOUTHWICK DRIVE, 3RD FLOORMatteson, IL 60443-6044

Mailing Address1524 Shirley Dr Ste 2008Calumet City, IL 60409-6213 · (708) 288-4033

Phone(708) 747-2655

Sole ProprietorNo

Enumeration DateMay 22, 2020

NPPES CertifiedMay 22, 2020

✔ NPI 1013530104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

4081 SOUTHWICK DRIVE, Matteson, IL 60443

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Secondary Practice Location 1

Location 11902 W Cermak Rd Ste 2008Chicago, IL 60608-4204 · Phone (773) 596-9045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reginald Jackson's NPI number?

The NPI number for Reginald Jackson is 1013530104. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Where is Reginald Jackson located?

Reginald Jackson practices at 4081 Southwick Drive 3rd Floor, Matteson, IL 60443. The listed phone number is (708) 747-2655.

What is Reginald Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Reginald Jackson was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.