Individual provider · Type 1 NPI

Mary Y. Jackson, LCSW

Clinical Social Worker · Landover, MD

NPI number 1629109665 Active

Practice location

8181 Professional Pl Ste 200
Landover, MD 20785-7219

Call (301) 306-4590 Map

Fax (301) 880-0054

Mailing address

16 Burgess Ln
Durham, NC 27707-2933

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200X21387 (MD)
Clinical Social Worker Primary 1041C0700X21387 (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 1629109665

Mary Y. Jackson, LCSW's National Provider Identifier is 1629109665, issued on Mar 9, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Landover, MD. The record was last updated on Feb 6, 2025.