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MS. SIMAJAH DOMINIQUE JACKSON LCSW
NPI 1699408682
Social Worker - Clinical in Fairfax, VA

Active since July 06, 2022
4410 SHIRLEY GATE RD, FAIRFAX, VA 22030(703) 205-9452(703) 653-1389 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Simajah Dominique Jackson Lcsw NPPES

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

MS. SIMAJAH DOMINIQUE JACKSON LCSW (NPI 1699408682) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904013854) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1699408682
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SIMAJAH DOMINIQUE JACKSONCredential: LCSW
Location Address4410 SHIRLEY GATE RDFairfax, VA 22030-5518
Mailing Address14166 Cuddy Loop Apt 304Woodbridge, VA 22193-5995 · (254) 423-8065
Phone(703) 205-9452
Fax(703) 653-1389
Sole ProprietorNo
Enumeration DateJuly 6, 2022
NPPES CertifiedJuly 6, 2022
✔ NPI 1699408682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904013854
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.
4410 SHIRLEY GATE RD, Fairfax, VA 22030
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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.

OLUSOLA EDWARDS LPC, LSATP
Counselor (Professional)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
MARISOL Y ESCRIBA AMAU RN
Registered Nurse
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
JAMIE J PLESKO LPC
Counselor (Professional)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
ALIZERETTE HERNANDEZ-VEGA LCSW
Social Worker (Clinical)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
AUGUSTINE AHENKORAH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 489-4444
ORIT PAYTAN LCSW
Social Worker (Clinical)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
CAMILLA CRYER LPC
Counselor (Professional)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
MEADE JONES HANNA LCSW-C
Counselor (Mental Health)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452

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 Simajah Jackson's NPI number?

The NPI number for Simajah Jackson is 1699408682. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Simajah Jackson located?

Simajah Jackson practices at 4410 Shirley Gate Rd, Fairfax, VA 22030. The listed phone number is (703) 205-9452.

What is Simajah 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 Simajah Jackson was last updated on July 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.