Active NPI
Lindsay Ruth Jackson, LCSW-C, LICSW
- School Social Worker
- Washington, DC
National Provider Identifier
1003277740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- LC50082074
- Practice address
- 1200 1St St NE FL 9
Washington, DC 20002-7953 - Phone
- (202) 276-3911
- NPI assigned
- Mar 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16965 | MD | |
| School Social Worker | 1041S0200X | LC50082074 | DC | Primary |
Addresses
Primary practice location
1200 1St St NE FL 9
Washington, DC 20002-7953
Mailing address
6510 Ducketts LN
Elkridge, MD 21075-6100
Phone (732) 580-4413
Other practice location 1
6950 Columbia Gateway Dr
Columbia, MD 21046-2706
Phone (410) 953-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50082074 | DC | MD | School Social Worker |
| 16965 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1003277740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 DUCKETTS LN",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756100",
"telephone_number": "732-580-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 1ST ST NE FL 9",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027953",
"telephone_number": "202-276-3911"
}
],
"practiceLocations": [
{
"address_1": "6950 Columbia Gateway Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210462706",
"country_code": "US",
"telephone_number": "410-953-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "LINDSAY",
"middle_name": "RUTH",
"credential": "LCSW-C, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16965",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "DC",
"license": "LC50082074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.