Active NPI
Lashawnda Jackson, LMSW
- Social Worker
- Glen Burnie, MD
National Provider Identifier
1023868601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 26001
- Practice address
- 7477 Baltimore Annapolis Blvd Ste 201
Glen Burnie, MD 21061-3567 - Phone
- (410) 412-7791
- NPI assigned
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 26001 | MD | Primary |
Addresses
Primary practice location
7477 Baltimore Annapolis Blvd Ste 201
Glen Burnie, MD 21061-3567
Mailing address
7477 Baltimore Annapolis Blvd Ste 201
Glen Burnie, MD 21061-3567
Phone (410) 412-7791
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 |
|---|---|---|---|
| 26001 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1023868601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7477 BALTIMORE ANNAPOLIS BLVD STE 201",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613567",
"telephone_number": "410-412-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7477 BALTIMORE ANNAPOLIS BLVD STE 201",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613567",
"telephone_number": "410-412-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LASHAWNDA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "26001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.