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FAY E JACKSON LCSW, CADC
NPI 1871825984
Social Worker - Clinical in St. Charles, IL

Active since February 01, 2010
3140 W ROUTE 64, ST. CHARLES, IL 60175(630) 587-5631 Get Directions Write a Review

NPPES record last updated: February 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fay E Jackson Lcsw, Cadc NPPES

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

FAY E JACKSON LCSW, CADC (NPI 1871825984) is an individual clinical provider in St. Charles, Illinois, licensed in Illinois (149-010374) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1871825984
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameFAY E JACKSONCredential: LCSW, CADC
Location Address3140 W ROUTE 64St. Charles, IL 60175
Mailing Address3140 W Route 64St. Charles, IL 60175 · (630) 587-5631
Phone(630) 587-5631
Sole ProprietorNo
Enumeration DateFebruary 1, 2010
✔ NPI 1871825984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149-010374
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 14095 (IL)
3140 W ROUTE 64, St. Charles, IL 60175
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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 Fay Jackson's NPI number?

The NPI number for Fay Jackson is 1871825984. It was assigned to this individual provider in the NPPES registry on February 1, 2010.

Where is Fay Jackson located?

Fay Jackson practices at 3140 W Route 64, St. Charles, IL 60175. The listed phone number is (630) 587-5631.

What is Fay 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 Fay Jackson was last updated on February 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.