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SAMYIA JACKSON
NPI 1215570551
Social Worker in Edgewood, MD

Active since October 18, 2019
1833 PULASKI HWY, EDGEWOOD, MD 21040(443) 484-2306 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samyia Jackson NPPES

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

SAMYIA JACKSON (NPI 1215570551) is an individual social worker in Edgewood, Maryland, licensed in Maryland (24556) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1215570551
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSAMYIA JACKSON
Location Address1833 PULASKI HWYEdgewood, MD 21040-1641
Mailing Address8109 Ridgetown Dr Apt BNottingham, MD 21236-3520
Phone(443) 484-2306
Sole ProprietorNo
Enumeration DateOctober 18, 2019
✔ NPI 1215570551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · 24556
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1833 PULASKI HWY, Edgewood, MD 21040
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Other Identifiers 1

Medicaid24556MD

Other Providers at the Same Location NPPES 2

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

EMPOWERING MINDS RESOURCE CENTER
Community/Behavioral Health
1833 PULASKI HWY
EDGEWOOD, MD 21040
Harford County (443) 484-2306
EMPOWERING MINDS RESOURCE CENTER
Community/Behavioral Health
1833 PULASKI HWY
EDGEWOOD, MD 21040
Harford County (443) 484-2306

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 Samyia Jackson's NPI number?

The NPI number for Samyia Jackson is 1215570551. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Samyia Jackson located?

Samyia Jackson practices at 1833 Pulaski Hwy, Edgewood, MD 21040. The listed phone number is (443) 484-2306.

What is Samyia Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Samyia Jackson was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.