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

BRENDALAN JACKSON, LCSW

Active Sole Proprietor

BRENDALAN JACKSON, LCSW is a Social Worker healthcare provider located in WALDORF, Maryland. NPI 1487319208 is currently active in the NPPES registry. Verify at CMS.

Social Worker · WALDORF, MD

Registration Details

NPI Number
1487319208
Provider Type
Individual
Gender
Female
NPI Issued
Nov 5, 2021 (4.5926164891893 yrs)
Last Updated
Jan 20, 2024
Licenses
LC20002422 (DC)
0904014977 (VA)
Q3-0000338 (DE)
Sole Proprietor
Yes

Practice Information

Address
9790 FRANKFURT DR
WALDORF, MD, 206035346
Browse MD providers · Browse ZIP 20603
Phone
2024598733
Primary Specialty
Social Worker
104100000X
Additional Specialty
Clinical Social Worker
Additional Specialty
Social Worker

Other Social Worker Providers in WALDORF, MD

Name Credential NPI
MRS. LAURA KIJEWSKI BSW, LSWA 1598801490
MS. SANDRA EVETTE MOORE LGSW 1881725802
MRS. LORICE MARIE PARKER LGSW 1427361781
MS. INGA PATRICE BLAZIO MSW, LGSW 1487969986
MS. CRYSTAL I JACKSON LGSW-G 1811204936
DAVIDRA BAZEMORE-BLUE MSW, LCSW-C 1124465802
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.