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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSON ELLIS

Active Sole Proprietor

JACKSON ELLIS is a Clinical Social Worker healthcare provider located in WASHINGTON, Washington D.C.. NPI 1285523241 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WASHINGTON, DC

Registration Details

NPI Number
1285523241
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2025 (1.1028395486757 yrs)
Last Updated
Nov 20, 2025
Sole Proprietor
Yes

Practice Information

Address
502 KENNEDY ST NW STE 2-A
WASHINGTON, DC, 200113136
Browse DC providers · Browse ZIP 20011
Phone
8029995792
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in WASHINGTON, DC

Name Credential NPI
DONALD ZUCKERMAN MSW 1164420535
BABETTE WISE 1023017100
LISA JOAN REARDON LICSW 1598765257
HOPE GRANDE 1376535088
MS. MARYANN FOSTER LCSW-C 1083602460
MS. HATTIE ANNA PETERSON MSW, LICSW 1326039041
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.