Angela L. Jackson, LCSW
NPI 1144597899ActiveIndividual· Social Worker, Clinical· Urbana, IL
Social Worker, Clinical (LCSW) in Urbana, Illinois, licensed in IL, with an NPI issued in November 2011. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1144597899 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Nov 23, 2011 |
| Last updated in NPPES | Mar 15, 2021 |
| Certified by provider | Mar 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149013402 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IL) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Other clinical social workers in Urbana
- 1013129212
- 1124430798
- 1164080693
- 1174258313
- 1295132728
- 1376234526
- 1457035677
- 1730954967
- 1740656016
- 1790486629
- 1912224783
- 1053199091
All 61 clinical social workers in Urbana · All clinical social workers in Illinois