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MR. DARRELL M JACKSON
NPI 1417035825
Counselor in Salisbury, MD

Active since November 02, 2006
2336 GODDARD PARKWAY, SALISBURY, MD 21801(410) 334-6961(410) 334-6960 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Darrell M Jackson NPPES

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

MR. DARRELL M JACKSON (NPI 1417035825) is an individual counselor in Salisbury, Maryland and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1417035825
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. DARRELL M JACKSON
Location Address2336 GODDARD PARKWAYSalisbury, MD 21801
Mailing Address2336 Goddard ParkwaySalisbury, MD 21801 · (410) 334-6961 · Fax (410) 334-6960
Phone(410) 334-6961
Fax(410) 334-6960
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateSeptember 18, 2008
✔ NPI 1417035825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2336 GODDARD PARKWAY, Salisbury, MD 21801
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Other Identifiers 9

Medicare ID-Type Unspecified742LMD
Medicaid609500303MD
Medicaid609500300MD
OtherLM49EAMD · Carefirst Bcbs Group
Other259147000MD · Magellan Group
Other517251Uhc Mamsi Group
Medicaid609550004MD
Medicaid609550001MD
OtherR968DC · Carefirst Bcbs Group

Other Providers at the Same Location NPPES 15

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

MRS. PATRICIA ANNETTE BROWN LCSW-C
Social Worker (Clinical)
2336 GODDARD PARKWAY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
STEPHANIE LYNN WESTFALL LCSW
Social Worker
2336 GODDARD PARKWAY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
TAMARRA PATRICE SMITH LGSW
Social Worker
2336 GODDARD PARKWAY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
MISS SARA KATHLEEN WEAVER LCSWC
Social Worker (Clinical)
2336 GODDARD PARKWAY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
LATOYA DONYELL GATTIS
Counselor
2336 GODDARD PARKWAY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
JAMIE LYNN SCHAFFENER
Counselor
2336 GODDARD PARKWAY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
BRITTANY JOY ELBOURN BA
Counselor
2336 GODDARD PARKWAY
SALISBURY, MD 21801
Wicomico County (410) 334-6961
NICHOLAS TRAVIS PEARSON
Counselor
2336 GODDARD PARKWAY
SALISBURY, MD 21801
Wicomico County (410) 334-6961

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 Darrell Jackson's NPI number?

The NPI number for Darrell Jackson is 1417035825. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Darrell Jackson located?

Darrell Jackson practices at 2336 Goddard Parkway, Salisbury, MD 21801. The listed phone number is (410) 334-6961.

What is Darrell Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Darrell Jackson was last updated on September 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.