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EBONY JACKSON
NPI 1134093628
Case Manager/Care Coordinator in Upper Marlboro, MD

Active since September 30, 2025
7311 LOANDA DR, UPPER MARLBORO, MD 20772(202) 985-9995 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebony Jackson NPPES

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

EBONY JACKSON (NPI 1134093628) is an individual case manager/care coordinator provider in Upper Marlboro, Maryland, licensed in District Of Columbia (2299105) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1134093628
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameEBONY JACKSON
Location Address7311 LOANDA DRUpper Marlboro, MD 20772-4274
Mailing Address239 57th Pl NeWashington, DC 20019-6866 · (310) 895-6008
Phone(202) 985-9995
Sole ProprietorYes
Enumeration DateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1134093628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in DC · 2299105
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
7311 LOANDA DR, Upper Marlboro, MD 20772
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Other Providers at the Same Location NPPES 3

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

CASTYURCARES LLC
Home Health Aide
7311 LOANDA DR
UPPER MARLBORO, MD 20772
Prince George's County (301) 442-5779
CASTYURCARES LLC
Home Health
7311 LOANDA DR
UPPER MARLBORO, MD 20772
Prince George's County (301) 442-5779
EARLENE SHAVON JACKSON
Case Manager/Care Coordinator
7311 LOANDA DR
UPPER MARLBORO, MD 20772
Prince George's County (301) 442-5779

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 Ebony Jackson's NPI number?

The NPI number for Ebony Jackson is 1134093628. It was assigned to this individual provider in the NPPES registry on September 30, 2025.

Where is Ebony Jackson located?

Ebony Jackson practices at 7311 Loanda Dr, Upper Marlboro, MD 20772. The listed phone number is (202) 985-9995.

What is Ebony Jackson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Ebony Jackson was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.