Kelly Jackson, LCSW-C in National Harbor, MD - Medicare Provider

Kelly Jackson, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in National Harbor, Maryland. Her current practice location is 137 National Plaza, Suite 300, National Harbor, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 395-9033.

Kelly Jackson is licensed to practice in Maryland (license number 20520) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710435953.

Contact Information

	Kelly Jackson, LCSW-C
	137 National Plaza, Suite 300, National Harbor, MD 20745
	(301) 395-9033
	Not Available

Healthcare Provider's Profile

Full Name	Kelly Jackson
Gender	Female
Speciality
Experience	Years
Location	137 National Plaza, National Harbor, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Jackson attended and graduated from in

NPI Data:

NPI Number: 1710435953
Provider Enumeration Date: 09/16/2016
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Kelly Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710435953	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LG50081123 (District Of Columbia)	Secondary
1041C0700X	Social Worker - Clinical	0904011702 (Virginia)	Secondary
1041C0700X	Social Worker - Clinical	20520 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Jackson, LCSW-C Po Box 2628, Waldorf, MD 20604-2628 Ph: (951) 977-1388	Kelly Jackson, LCSW-C 137 National Plaza, Suite 300, National Harbor, MD 20745 Ph: (301) 395-9033

News Archive

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Kelly Jackson, LCSW-C - Medicare Clinical Social Worker in National Harbor, MD