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

Individual provider Clinical Social Worker · NPI 1588256424

Damien Jackson is a Clinical Social Worker in Mundelein, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

201 Maplewood Ave
Mundelein, IL 60060-4129
Phone: (773) 234-4808
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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 149021097 (IL)

Record details

NPI number1588256424
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 10, 2021
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021
Mailing address201 Maplewood Ave, Mundelein, IL 60060-4129

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mundelein