IndividualActive
Fay Jackson, LCSW, CADC
NPI 1871825984 · Clinical Social Worker · St. Charles, IL
Provider details
- NPI number
- 1871825984
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, CADC
- Sex
- Female
- Sole proprietor
- No
- License
- 14095 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3140 W Route 64
St. Charles, IL 60175
Phone: (630) 587-5631
Approximate (ZIP-level) locationGet directions
Mailing address
3140 W Route 64
St. Charles, IL 60175
Registry dates
- Enumerated
- 2010-02-01
- Last updated
- 2010-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.