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MR. THOMAS JEFFERSON JACKSON III
NPI 1477314656
Case Manager/Care Coordinator in Clinton, MD

Active since January 16, 2024
9604 STUART LN, CLINTON, MD 20735(240) 547-7904 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas Jefferson Jackson Iii NPPES

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

MR. THOMAS JEFFERSON JACKSON III (NPI 1477314656) is an individual case manager/care coordinator provider in Clinton, Maryland and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1477314656
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. THOMAS JEFFERSON JACKSON III
Location Address9604 STUART LNClinton, MD 20735-3376
Mailing Address9604 Stuart LnClinton, MD 20735-3376 · (240) 547-7904
Phone(240) 547-7904
Sole ProprietorYes
Enumeration DateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1477314656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
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.
9604 STUART LN, Clinton, MD 20735
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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 Thomas Jackson's NPI number?

The NPI number for Thomas Jackson is 1477314656. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Thomas Jackson located?

Thomas Jackson practices at 9604 Stuart Ln, Clinton, MD 20735. The listed phone number is (240) 547-7904.

What is Thomas 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 Thomas Jackson was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.