MRS. Sandra Lydia Jackson LICSW, LCSW-C

  • NPI 1467767319
According to our database, the NPI number for MRS. Sandra Lydia Jackson LICSW, LCSW-C is 1467767319 and activated since 13 years ago. MRS. Sandra Lydia Jackson LICSW, LCSW-C is an individual provider who specializes in Clinical, and the primary practice location is 3102 Floral Park Rd, Clinton, MD 20735. You can also contact MRS. Sandra Lydia Jackson LICSW, LCSW-C via telephone number is (301) 292-2778. Provider NPI information was last updated on 08/16/2010.

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Overview of MRS. Sandra Lydia Jackson LICSW, LCSW-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/16/2010
  • Last updated: 08/16/2010

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: LC302754
  • License State: DC

Provider Mailing Address

  • Address: 8406 Owens Way
    Brandywine, MD 20613
  • Phone: 301-782-4551
  • Fax:

Provider Practice Location

  • Address: 3102 Floral Park Rd
    Clinton, MD 20735
  • Phone: 301-292-2778
  • Fax: 301-292-0275

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: LC302754
  • License State: DC
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MRS. Sandra Lydia Jackson LICSW, LCSW-C?
  • A: The npi number for MRS. Sandra Lydia Jackson LICSW, LCSW-C is 1467767319.
  • Q: What are MRS. Sandra Lydia Jackson LICSW, LCSW-C's specialties?
  • A: MRS. Sandra Lydia Jackson LICSW, LCSW-C's specialties are Clinical and different specialities.
  • Q: What is the medical license for MRS. Sandra Lydia Jackson LICSW, LCSW-C?
  • A: The medical license number for MRS. Sandra Lydia Jackson LICSW, LCSW-C is LC302754 and issued in DC in USA.
  • Q: Where is MRS. Sandra Lydia Jackson LICSW, LCSW-C practice location?
  • A: MRS. Sandra Lydia Jackson LICSW, LCSW-C is practicing at 3102 Floral Park Rd, Clinton, MD 20735.
  • Q: How to contact MRS. Sandra Lydia Jackson LICSW, LCSW-C?
  • A: You can contact MRS. Sandra Lydia Jackson LICSW, LCSW-C via 301-292-2778.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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