KELLY JACKSON
NPI 1407522428
Social Worker - Clinical in Cedar Lake, IN
About Kelly Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY JACKSON (NPI 1407522428) is an individual clinical provider in Cedar Lake, Indiana, licensed in Indiana (34006136A) and active in the NPI registry since August 2021.
NPPES Registry Identity
Specialties & Licenses
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 Kelly Jackson's NPI number?
The NPI number for Kelly Jackson is 1407522428. It was assigned to this individual provider in the NPPES registry on August 19, 2021.
Where is Kelly Jackson located?
Kelly Jackson practices at 11631 Cedar St, Cedar Lake, IN 46303. The listed phone number is (219) 682-8211.
What is Kelly 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 Kelly Jackson was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.