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

MS. Melody Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1619216413

MS. Melody Jackson, LCSW is a Clinical Social Worker in South Holland, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
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

1263 Prince Dr
South Holland, IL 60473-1128
Phone: (773) 507-2660
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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 149.015461 (IL)

Record details

NPI number1619216413
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 14, 2013
Last updated in NPPESFebruary 14, 2013
Mailing address1263 Prince Dr, South Holland, IL 60473-1128

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