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

Individual provider Clinical Social Worker · NPI 1427394485

Marian A Jackson, LCSW is a Clinical Social Worker in Fairview Heights, Illinois. Qualified in 1976, 50 years ago. Practices with Promed Preferred Il 2 PLLC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
50
Licensed in
IL
In the registry since
2012
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

125 N Ruby Ln
Fairview Heights, IL 62208-1926
Phone: (618) 398-4226
Fax: (618) 398-1759
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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 149.015627 (IL)

Record details

NPI number1427394485
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 19, 2012
Last updated in NPPESDecember 19, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Group practice Promed Preferred Il 2 Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fairview Heights