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

Dominique Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1891382339

Dominique Jackson, LCSW is a Clinical Social Worker in Valparaiso, Indiana. Licensed in Illinois and Indiana. Registered with an NPI since 2020.

Licensed in
IL, IN
In the registry since
2020
Specialties on file
3
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

2106 Morthland Dr Unit 1086
Valparaiso, IN 46383-5914
Phone: (219) 508-5646
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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 34009080A (IN)
Social Worker Taxonomy 104100000X · Licence 34009080A (IN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.028567 (IL)

Record details

NPI number1891382339
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 30, 2020
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address3009 Winter Garden Dr, Valparaiso, IN 46385-7140

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