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

Diane Rene Jackson, LMSW-ACP

Individual provider Clinical Social Worker · NPI 1922160720

Diane Rene Jackson, LMSW-ACP is a Clinical Social Worker in O Fallon, Illinois. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

1129 Hightower Place Dr
O Fallon, IL 62269-7069
Phone: (618) 628-0886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 31356 (TX)

Record details

NPI number1922160720
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW-ACP
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESNovember 9, 2007

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