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JACKSON BEHAVIORAL HEALTH SERVICES LLC
NPI 1063046498
Social Worker - Clinical in Richton Park, IL

Active since February 25, 2020
4137 SAUK TRL STE 146, RICHTON PARK, IL 60471(708) 983-8074 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Behavioral Health Services Llc NPPES

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

JACKSON BEHAVIORAL HEALTH SERVICES LLC (NPI 1063046498) is a healthcare organization registered as a clinical in Richton Park, Illinois and active in the NPI registry since February 2020. The organization lists Addison Jackson, Director, as its authorized official.

NPPES Registry Identity

NPI1063046498
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJACKSON BEHAVIORAL HEALTH SERVICES LLC
Location Address4137 SAUK TRL STE 146Richton Park, IL 60471-1253
Mailing Address4137 Sauk Trl Ste 146Richton Park, IL 60471-1253
Phone(708) 983-8074
Organization SubpartNo
Authorized OfficialAddison JacksonDirector · (708) 983-8074
Enumeration DateFebruary 25, 2020
✔ NPI 1063046498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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, 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.
4137 SAUK TRL STE 146, Richton Park, IL 60471
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADDISON JACKSON JR. LCSW
Social Worker (Clinical)
4137 SAUK TRL STE 146
RICHTON PARK, IL 60471
Cook County (708) 983-8074

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 Jackson Behavioral Health Services LLC's NPI number?

The NPI number for Jackson Behavioral Health Services LLC is 1063046498. It was assigned to this organization in the NPPES registry on February 25, 2020.

Where is Jackson Behavioral Health Services LLC located?

Jackson Behavioral Health Services LLC is located at 4137 Sauk Trl Ste 146, Richton Park, IL 60471. The listed phone number is (708) 983-8074.

What is Jackson Behavioral Health Services LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jackson Behavioral Health Services LLC was last updated on February 25, 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.