Individual provider · Type 1 NPI

Waynyell Jackson, LCSW-C

Clinical Social Worker · Baltimore, MD

NPI number 1427228485 Active

Practice location

7130 Rutherford Rd
Baltimore, MD 21244-2701

Call (443) 429-4880 Map

Mailing address

7205 Rutherford Rd
Baltimore, MD 21244-2711

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14596 (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 1427228485

Waynyell Jackson, LCSW-C's National Provider Identifier is 1427228485, issued on Mar 6, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Aug 27, 2009.