NPI 1003196676

Nigel Damien Jackson, LICSW

Practitioner Clinical Social Worker Washington, DC

Practice location

Address: 1629 K St NW STE 300, Washington, DC 20006-1631
Phone: (202) 374-8702
Mailing address: 3901 Suitland Rd APT 908, Suitland, MD 20746-1918

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LC50078330 (DC)

Other Social Worker providers in District of Columbia →

Registry record

NPI: 1003196676
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2011
Record last updated: 26 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.