SUSAN JACKSON LCSW
NPI 1740925825
Social Worker - Clinical in Champaign, IL

Active since May 03, 2022
2301 W BRADLEY AVE, CHAMPAIGN, IL 61821(574) 387-4313 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Jackson Lcsw NPPES

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

SUSAN JACKSON LCSW (NPI 1740925825) is an individual clinical provider in Champaign, Illinois and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1740925825
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN JACKSONCredential: LCSW
Location Address2301 W BRADLEY AVEChampaign, IL 61821-1849
Mailing Address1824 Touby Pike Ste BKokomo, IN 46901-2573 · (765) 628-7400 · Fax (855) 940-0177
Sole ProprietorNo
Enumeration DateMay 3, 2022
NPPES CertifiedMay 2, 2022
NPI 1740925825 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.
2301 W BRADLEY AVE, Champaign, IL 61821

Other Names 1

Former Name (1)Susan Idziak

Other Providers at the Same Location NPPES 20

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

Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Assistant Behavior Analyst
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821

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 Susan Jackson's NPI number?

The NPI number for Susan Jackson is 1740925825. It was assigned to this individual provider in the NPPES registry on May 3, 2022. The provider is also known as Susan Idziak.

Where is Susan Jackson located?

Susan Jackson practices at 2301 W Bradley Ave, Champaign, IL 61821. The listed phone number is (574) 387-4313.

What is Susan 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 Susan Jackson was last updated on May 3, 2022. 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.