Individual provider · Type 1 NPI
Mia Jackson, LCSW-C
Clinical Social Worker · Largo, MD
Practice location
1300 Mercantile Ln Ste 129-50
Largo, MD 20774-5327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 23602 (MD) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1093486136
Mia Jackson, LCSW-C's National Provider Identifier is 1093486136, issued on Sep 27, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Largo, MD. The record was last updated on May 7, 2026.