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BRENDALAN JACKSON LCSW
NPI 1487319208
Social Worker in Waldorf, MD

Active since November 05, 2021
9790 FRANKFURT DR, WALDORF, MD 20603(202) 459-8733 Get Directions Write a Review

NPPES record last updated: January 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brendalan Jackson Lcsw NPPES

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

BRENDALAN JACKSON LCSW (NPI 1487319208) is an individual social worker in Waldorf, Maryland, licensed in Delaware (Q3-0000338) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1487319208
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameBRENDALAN JACKSONCredential: LCSW
Location Address9790 FRANKFURT DRWaldorf, MD 20603-5346
Mailing Address9790 Frankfurt DrWaldorf, MD 20603-5346 · (202) 459-8733
Phone(202) 459-8733
Sole ProprietorYes
Enumeration DateNovember 5, 2021
Last NPPES UpdateJanuary 20, 2024
NPPES CertifiedJanuary 20, 2024
✔ NPI 1487319208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in DE · Q3-0000338
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LC20002422 (DC), 0904014977 (VA)
9790 FRANKFURT DR, Waldorf, MD 20603
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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 Brendalan Jackson's NPI number?

The NPI number for Brendalan Jackson is 1487319208. It was assigned to this individual provider in the NPPES registry on November 5, 2021.

Where is Brendalan Jackson located?

Brendalan Jackson practices at 9790 Frankfurt Dr, Waldorf, MD 20603. The listed phone number is (202) 459-8733.

What is Brendalan 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 Brendalan Jackson was last updated on January 20, 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.