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MS. MARY Y JACKSON LCSW
NPI 1629109665
Social Worker - Clinical in Landover, MD

Active since March 09, 2007PECOS Enrolled
8181 PROFESSIONAL PL STE 200, LANDOVER, MD 20785(301) 306-4590(301) 880-0054 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Y Jackson Lcsw NPPES

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

MS. MARY Y JACKSON LCSW (NPI 1629109665) is an individual clinical provider in Landover, Maryland, licensed in Maryland (21387) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629109665
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY Y JACKSONCredential: LCSW
Location Address8181 PROFESSIONAL PL STE 200Landover, MD 20785-7219
Mailing Address16 Burgess LnDurham, NC 27707-2933 · (919) 493-3888
Phone(301) 306-4590
Fax(301) 880-0054
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateFebruary 6, 2025
NPPES CertifiedFebruary 6, 2025
✔ NPI 1629109665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 21387
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.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 21387 (MD)
8181 PROFESSIONAL PL STE 200, Landover, MD 20785
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Y Jackson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20785 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SUSAN ATOBE LMSW
Social Worker
8181 PROFESSIONAL PL STE 200
LANDOVER, MD 20785
Prince George's County (301) 306-4590
ASIA QUICK LGPC
Counselor (Mental Health)
8181 PROFESSIONAL PL STE 200
HYATTSVILLE, MD 20785
Prince George's County (301) 306-4590
ANITA LEWIS LCSWC
Social Worker (Clinical)
8181 PROFESSIONAL PL STE 200
LANDOVER, MD 20785
Prince George's County (301) 306-4590
JADA KELLY LMSW
Social Worker (School)
8181 PROFESSIONAL PL STE 200
LANDOVER, MD 20785
Prince George's County (301) 306-4590
KRISTIN YIRENKYI
Social Worker (Clinical)
8181 PROFESSIONAL PL STE 200
HYATTSVILLE, MD 20785
Prince George's County (301) 306-4590
KEISHA MCGEACHY LMSW
Social Worker
8181 PROFESSIONAL PL STE 200
LANDOVER, MD 20785
Prince George's County (301) 306-4590
ISABELLA GOLDBERG LMSW
Social Worker (Clinical)
8181 PROFESSIONAL PL STE 200
HYATTSVILLE, MD 20785
Prince George's County (301) 306-4590
JACHAEL HOLMES-ENRIQUEZ
Counselor (Mental Health)
8181 PROFESSIONAL PL STE 200
HYATTSVILLE, MD 20785
Prince George's County (301) 306-4590

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 Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1629109665. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Mary Jackson located?

Mary Jackson practices at 8181 Professional Pl Ste 200, Landover, MD 20785. The listed phone number is (301) 306-4590.

What is Mary Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Jackson enrolled in Medicare?

Yes. Mary Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Jackson was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.