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ADDISON JACKSON JR. LCSW
NPI 1821648668
Social Worker - Clinical in Richton Park, IL

Active since September 13, 2019
4137 SAUK TRL STE 146, RICHTON PARK, IL 60471(708) 983-8074 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2023, Dec 26, 2019, Sep 13, 2019 (3 updates tracked since 2019).

About Addison Jackson Jr. Lcsw NPPES

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

ADDISON JACKSON JR. LCSW (NPI 1821648668) is an individual clinical provider in Richton Park, Illinois, licensed in Illinois (149.021059) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1821648668
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameADDISON JACKSON JR.Credential: LCSW
Location Address4137 SAUK TRL STE 146Richton Park, IL 60471-1253
Mailing Address3715 Village DrHazel Crest, IL 60429-2444 · (708) 983-8074
Phone(708) 983-8074
Sole ProprietorYes
Enumeration DateSeptember 13, 2019
Last NPPES UpdateMarch 9, 20233 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1821648668 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 · 149.021059
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.

JACKSON BEHAVIORAL HEALTH SERVICES LLC
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 Addison Jackson's NPI number?

The NPI number for Addison Jackson is 1821648668. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Addison Jackson located?

Addison Jackson practices at 4137 Sauk Trl Ste 146, Richton Park, IL 60471. The listed phone number is (708) 983-8074.

What is Addison 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 Addison Jackson was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.