1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Social Worker
  6. NPI Profile

MR. CHARLES E. JACKSON JR. LCSW-C, LICSW
NPI 1720185036
Social Worker in Baltimore, MD

Active since September 20, 2006PECOS Enrolled
10 N. GREENE STREEET, BALTIMORE, MD 21201(410) 605-7279 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles E. Jackson Jr. Lcsw-c, Licsw NPPES

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

MR. CHARLES E. JACKSON JR. LCSW-C, LICSW (NPI 1720185036) is an individual social worker in Baltimore, Maryland, licensed in Maryland (G10149) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720185036
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. CHARLES E. JACKSON JR.Credential: LCSW-C, LICSW
Location Address10 N. GREENE STREEETBaltimore, MD 21201
Mailing Address10 N. Greene StreeetBaltimore, MD 21201 · (410) 605-7279
Phone(410) 605-7279
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 9, 2008
✔ NPI 1720185036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · G10149
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.
10 N. GREENE STREEET, Baltimore, MD 21201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles E. Jackson Jr. Lcsw-c, Licsw 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.

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 Charles Jackson's NPI number?

The NPI number for Charles Jackson is 1720185036. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Charles Jackson located?

Charles Jackson practices at 10 N. Greene Streeet, Baltimore, MD 21201. The listed phone number is (410) 605-7279.

What is Charles Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Charles Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Jackson was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.