MIA JACKSON LCSW-C
NPI 1093486136
Social Worker - Clinical in Largo, MD

Active since September 27, 2021
1300 MERCANTILE LN STE 129-50, LARGO, MD 20774(202) 940-2540 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2026, Apr 6, 2022, Sep 27, 2021 (3 updates tracked since 2021).

About Mia Jackson Lcsw-c NPPES

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

MIA JACKSON LCSW-C (NPI 1093486136) is an individual clinical provider in Largo, Maryland, licensed in Maryland (23602) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1093486136
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIA JACKSONCredential: LCSW-C
Location Address1300 MERCANTILE LN STE 129-50Largo, MD 20774-5327
Mailing Address1300 Mercantile Ln Ste 129-50Largo, MD 20774-5327 · (202) 940-2540
Sole ProprietorYes
Enumeration DateSeptember 27, 2021
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1093486136 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 · 23602
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.
1300 MERCANTILE LN STE 129-50, Largo, MD 20774

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 Mia Jackson's NPI number?

The NPI number for Mia Jackson is 1093486136. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Mia Jackson located?

Mia Jackson practices at 1300 Mercantile Ln Ste 129-50, Largo, MD 20774. The listed phone number is (202) 940-2540.

What is Mia 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 Mia Jackson was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.