Individual provider · Type 1 NPI

Sandra Lydia Jackson, LICSW, LCSW-C

Clinical Social Worker · Clinton, MD

NPI number 1467767319 Active

Practice location

3102 Floral Park Rd
Clinton, MD 20735-9665

Call (301) 292-2778 Map

Fax (301) 292-0275

Mailing address

8406 Owens Way
Brandywine, MD 20613-5715

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X09990 (MD)
Clinical Social Worker 1041C0700XLC302754 (DC)

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 1467767319

Sandra Lydia Jackson, LICSW, LCSW-C's National Provider Identifier is 1467767319, issued on Aug 16, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clinton, MD. The record was last updated on Aug 16, 2010.