NICOLE JACKSON LCSW-C
NPI 1740849314
Social Worker - Clinical in Gaithersburg, MD

Active since June 07, 2019
16220 FREDERICK RD STE 310, GAITHERSBURG, MD 20877(301) 358-4388 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 13, 2021, Jun 7, 2019 (2 updates tracked since 2019).

About Nicole Jackson Lcsw-c NPPES

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

NICOLE JACKSON LCSW-C (NPI 1740849314) is an individual clinical provider in Gaithersburg, Maryland, licensed in Maryland (24876) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1740849314
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE JACKSONCredential: LCSW-C
Location Address16220 FREDERICK RD STE 310Gaithersburg, MD 20877-4020
Mailing Address7474 Greenway Center Dr, Suite 730Greenbelt, MD 20770-3523
Sole ProprietorNo
Enumeration DateJune 7, 2019
Last NPPES UpdateSeptember 13, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
NPI 1740849314 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 · 24876
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 WorkerTaxonomy 104100000X · License 24876 (MD)
16220 FREDERICK RD STE 310, Gaithersburg, MD 20877

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
16220 FREDERICK RD STE 310
GAITHERSBURG, MD 20877
Social Worker
16220 FREDERICK RD STE 310
GAITHERSBURG, MD 20877
Social Worker
16220 FREDERICK RD STE 310
GAITHERSBURG, MD 20877
Social Worker
16220 FREDERICK RD STE 310
GAITHERSBURG, MD 20877
Counselor (Professional)
16220 FREDERICK RD STE 310
GAITHERSBURG, MD 20877
Social Worker
16220 FREDERICK RD STE 310
GAITHERSBURG, MD 20877
Social Worker
16220 FREDERICK RD STE 310
GAITHERSBURG, MD 20877
Social Worker
16220 FREDERICK RD STE 310
GAITHERSBURG, MD 20877

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 Nicole Jackson's NPI number?

The NPI number for Nicole Jackson is 1740849314. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Nicole Jackson located?

Nicole Jackson practices at 16220 Frederick Rd Ste 310, Gaithersburg, MD 20877. The listed phone number is (301) 358-4388.

What is Nicole 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 Nicole Jackson was last updated on September 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.