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

Te'Ja Jackson

Individual provider Clinical Social Worker · NPI 1568257863

Te'Ja Jackson is a Clinical Social Worker in Oak Park, Illinois. Qualified in 2022, 4 years ago. Practices with Pcc Community Wellness Center, a 89-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

14 Lake St
Oak Park, IL 60302-2606
Phone: (708) 383-0113
Fax: (708) 383-9911
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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 149.028914 (IL)

Record details

NPI number1568257863
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 9, 2025
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address14 Lake St, Oak Park, IL 60302-2606

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pcc Community Wellness Center — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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