MRS. DONNA MARIE JACKSON MSW, LSW, CDP
NPI 1417495383
Social Worker in Gurnee, IL

Active since February 10, 2017
4212 OLD GRAND AVE, SUITE 102, GURNEE, IL 60031(847) 336-5621(847) 336-2594 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Donna Marie Jackson Msw, Lsw, Cdp NPPES

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

MRS. DONNA MARIE JACKSON MSW, LSW, CDP (NPI 1417495383) is an individual social worker in Gurnee, Illinois, licensed in Illinois (150-006550) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1417495383
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. DONNA MARIE JACKSONCredential: MSW, LSW, CDP
Location Address4212 OLD GRAND AVE, SUITE 102Gurnee, IL 60031-2708
Mailing Address860 Breeze DrLake Villa, IL 60046-6692 · (847) 553-1259
Fax(847) 336-2594
Sole ProprietorYes
Enumeration DateFebruary 10, 2017
NPI 1417495383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in IL · 150-006550
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.
4212 OLD GRAND AVE, Gurnee, IL 60031

Other Providers at the Same Location NPPES 15

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

Social Worker
4212 OLD GRAND AVE
GURNEE, IL 60031
Social Worker (Clinical)
4212 OLD GRAND AVE, SUITE 102
GURNEE, IL 60031
Counselor (Professional)
4212 OLD GRAND AVE, SUITE 102
GURNEE, IL 60031
Counselor (Professional)
4212 OLD GRAND AVE, SUITE 102
GURNEE, IL 60031
Social Worker
4212 OLD GRAND AVE, SUITE 102
GURNEE, IL 60031
Social Worker
4212 OLD GRAND AVE
GURNEE, IL 60031
Counselor (Professional)
4212 OLD GRAND AVE, SUITE 102
GURNEE, IL 60031
Social Worker (Clinical)
4212 OLD GRAND AVE, SUITE 102
GURNEE, IL 60031

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 Donna Jackson's NPI number?

The NPI number for Donna Jackson is 1417495383. It was assigned to this individual provider in the NPPES registry on February 10, 2017.

Where is Donna Jackson located?

Donna Jackson practices at 4212 Old Grand Ave Suite 102, Gurnee, IL 60031. The listed phone number is (847) 336-5621.

What is Donna 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 Donna Jackson was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.