Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Addison Jackson Jr., LCSW

Individual provider Clinical Social Worker · NPI 1821648668

Addison Jackson Jr., LCSW is a Clinical Social Worker in Richton Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4137 Sauk Trl Ste 146
Richton Park, IL 60471-1253
Phone: (708) 983-8074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.021059 (IL)

Record details

NPI number1821648668
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 13, 2019
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023
Mailing address3715 Village Dr, Hazel Crest, IL 60429-2444

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