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

Ontonio Jackson-Lucas

Individual provider Clinical Social Worker · NPI 1538946702

Ontonio Jackson-Lucas is a Clinical Social Worker in Glenwood, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

626 E Glenwood Dyer Rd
Glenwood, IL 60425-2227
Phone: (708) 983-9044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 150.111442 (IL)

Record details

NPI number1538946702
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2023
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

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