Individual provider · Type 1 NPI

Jerrontay Jackson, LMSW

Clinical Social Worker · Leesburg, VA

NPI number 1891305736 Active

Practice location

199 Liberty St SW
Leesburg, VA 20175-2715

Call (804) 207-6737 Map

Mailing address

200 N 22nd St
Richmond, VA 23223-7020

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0906017686 (VA)

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 1891305736

Jerrontay Jackson, LMSW's National Provider Identifier is 1891305736, issued on Aug 5, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Leesburg, VA. The record was last updated on Jun 17, 2026.