Active NPI
Theresa Jackson, MSW, LSW
- Social Worker
- Oak Park, IL
National Provider Identifier
1275599367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 715 Lake St
Oak Park, IL 60301-1422 - Phone
- (708) 386-8145
- Fax
- (708) 848-6176
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Primary |
Addresses
Primary practice location
715 Lake St
Oak Park, IL 60301-1422
Mailing address
239 N Hillside Ave
Hillside, IL 60162-1512
Phone (708) 449-3242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.006805 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275599367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 N HILLSIDE AVE",
"city": "HILLSIDE",
"state": "IL",
"postal_code": "601621512",
"telephone_number": "708-449-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 LAKE ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011422",
"telephone_number": "708-386-8145",
"fax_number": "708-848-6176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "THERESA",
"name_prefix": "Miss",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.