Individual provider · Type 1 NPI

Nicole Jackson, LCSW-C

Clinical Social Worker · Gaithersburg, MD

NPI number 1740849314 Active

Practice location

16220 Frederick Rd Ste 310
Gaithersburg, MD 20877-4020

Call (301) 358-4388 Map

Mailing address

7474 Greenway Center Dr, Suite 730
Greenbelt, MD 20770-3523

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X24876 (MD)
Clinical Social Worker Primary 1041C0700X24876 (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 1740849314

Nicole Jackson, LCSW-C's National Provider Identifier is 1740849314, issued on Jun 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gaithersburg, MD. The record was last updated on Sep 13, 2021.