MYRNA C. JACKSON
NPI 1043879315
Social Worker - Clinical in Baltimore, MD

Active since June 11, 2019
200 E. NORTH AVE, RELATED SERVICES RM 210, BALTIMORE, MD 21202(443) 642-4211 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Myrna C. Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRNA C. JACKSON (NPI 1043879315) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (04710) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1043879315
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMYRNA C. JACKSON
Location Address200 E. NORTH AVE, RELATED SERVICES RM 210Baltimore, MD 21202
Mailing Address111 Hamlet Hill Rd Unit 602Baltimore, MD 21210-1510 · (410) 913-7000
Sole ProprietorNo
Enumeration DateJune 11, 2019
NPI 1043879315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MD · 04710
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
200 E. NORTH AVE, Baltimore, MD 21202

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
200 E. NORTH AVE
BALTIMORE, MD 21202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myrna Jackson's NPI number?

The NPI number for Myrna Jackson is 1043879315. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Myrna Jackson located?

Myrna Jackson practices at 200 E. North Ave Related Services Rm 210, Baltimore, MD 21202. The listed phone number is (443) 642-4211.

What is Myrna Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Myrna Jackson was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.