Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JACKSON, LCSW-C
Active Sole ProprietorKELLY JACKSON, LCSW-C is a Clinical Social Worker healthcare provider located in NATIONAL HARBOR, Maryland. NPI 1710435953 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · NATIONAL HARBOR, MD
Registration Details
- NPI Number
- 1710435953
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2016 (9.7292272738176 yrs)
- Last Updated
- Jan 3, 2024
- Licenses
-
LG50081123 (DC)0904011702 (VA)20520 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
137 NATIONAL PLAZASUITE 300NATIONAL HARBOR, MD, 20745Browse MD providers · Browse ZIP 20745
- Phone
- 3013959033
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
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.