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STACY JACKSON LCSW
NPI 1285571109
Social Worker - Clinical in Chicago, IL

Active since April 29, 2026
222 N COLUMBUS DR APT 1309, CHICAGO, IL 60601(312) 415-1982(312) 415-1982 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Jackson Lcsw NPPES

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

STACY JACKSON LCSW (NPI 1285571109) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.012279) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1285571109
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY JACKSONCredential: LCSW
Location Address222 N COLUMBUS DR APT 1309Chicago, IL 60601-7947
Mailing Address222 N Columbus Dr Apt 1309Chicago, IL 60601-7947 · (312) 415-1982 · Fax (312) 415-1982
Phone(312) 415-1982
Fax(312) 415-1982
Sole ProprietorYes
Enumeration DateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1285571109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.012279
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.
222 N COLUMBUS DR APT 1309, Chicago, IL 60601
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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 Stacy Jackson's NPI number?

The NPI number for Stacy Jackson is 1285571109. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Stacy Jackson located?

Stacy Jackson practices at 222 N Columbus Dr Apt 1309, Chicago, IL 60601. The listed phone number is (312) 415-1982.

What is Stacy Jackson'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 Stacy Jackson was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.