MRS. SANDRA LYDIA JACKSON LICSW, LCSW-C
NPI 1467767319
Social Worker - Clinical in Clinton, MD

Active since August 16, 2010
3102 FLORAL PARK RD, CLINTON, MD 20735(301) 292-2778(301) 292-0275 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Sandra Lydia Jackson Licsw, Lcsw-c NPPES

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

MRS. SANDRA LYDIA JACKSON LICSW, LCSW-C (NPI 1467767319) is an individual clinical provider in Clinton, Maryland, licensed in Maryland (09990) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1467767319
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SANDRA LYDIA JACKSONCredential: LICSW, LCSW-C
Location Address3102 FLORAL PARK RDClinton, MD 20735-9665
Mailing Address8406 Owens WayBrandywine, MD 20613-5715 · (301) 782-4551
Fax(301) 292-0275
Sole ProprietorYes
Enumeration DateAugust 16, 2010
NPI 1467767319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MD · 09990 Licensed in DC · LC302754
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.
3102 FLORAL PARK RD, Clinton, MD 20735

Other Providers at the Same Location NPPES 16

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

Counselor (Mental Health)
3102 FLORAL PARK RD
CLINTON, MD 20735
Counselor
3102 FLORAL PARK RD
CLINTON, MD 20735
Counselor (Professional)
3102 FLORAL PARK RD
CLINTON, MD 20735
Social Worker (Clinical)
3102 FLORAL PARK RD
CLINTON, MD 20735
Counselor (Professional)
3102 FLORAL PARK RD
CLINTON, MD 20735
Counselor (Mental Health)
3102 FLORAL PARK RD
CLINTON, MD 20735
Counselor (Professional)
3102 FLORAL PARK RD
CLINTON, MD 20735
Counselor (Professional)
3102 FLORAL PARK RD
CLINTON, MD 20735

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 Sandra Jackson's NPI number?

The NPI number for Sandra Jackson is 1467767319. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Where is Sandra Jackson located?

Sandra Jackson practices at 3102 Floral Park Rd, Clinton, MD 20735. The listed phone number is (301) 292-2778.

What is Sandra 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 Sandra Jackson was last updated on August 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.