Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JERRONTAY JACKSON LMSW
NPI 1891305736
Social Worker - Clinical in Leesburg, VA

Active since August 05, 2020
199 LIBERTY ST SW, LEESBURG, VA 20175(804) 207-6737 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerrontay Jackson Lmsw NPPES

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

JERRONTAY JACKSON LMSW (NPI 1891305736) is an individual clinical provider in Leesburg, Virginia, licensed in Virginia (0906017686) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1891305736
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJERRONTAY JACKSONCredential: LMSW
Location Address199 LIBERTY ST SWLeesburg, VA 20175-2715
Mailing Address200 N 22nd StRichmond, VA 23223-7020 · (804) 644-9590
Sole ProprietorYes
Enumeration DateAugust 5, 2020
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
NPI 1891305736 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 · 0906017686
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.
199 LIBERTY ST SW, Leesburg, VA 20175

Other Providers at the Same Location NPPES 17

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

Social Worker (Clinical)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Professional)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Professional)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Mental Health)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Professional)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Professional)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Mental Health)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Mental Health)
199 LIBERTY ST SW
LEESBURG, VA 20175

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 Jerrontay Jackson's NPI number?

The NPI number for Jerrontay Jackson is 1891305736. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Jerrontay Jackson located?

Jerrontay Jackson practices at 199 Liberty St SW, Leesburg, VA 20175. The listed phone number is (804) 207-6737.

What is Jerrontay 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 Jerrontay Jackson was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.