Individual provider
MS. DEBORAH LEE JACKSON, LCSW
CMS NPPES lists MS. DEBORAH LEE JACKSON as an individual provider record with NPI 1003006842. The current record reports a primary practice location in CHICAGO, IL and primary taxonomy code 1041C0700X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location2820 W PETERSON AVECHICAGO, IL 606593803
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
1041C0700XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- July 27, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.