Individual provider Active NPI

Cameron Rosenthal Jackson, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1023882800
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27233 Issued in MD
Practice address
2650 Quarry Lake Dr Ste 200
Baltimore, MD 21209-3756
Phone
(410) 757-2077
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27233 MD Primary

Addresses

Primary practice location

2650 Quarry Lake Dr Ste 200
Baltimore, MD 21209-3756

Mailing address

2650 Quarry Lake Dr
Baltimore, MD 21209-3755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111001812 MD Practitioner - Clinical Social Worker 1052802782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1511 Ritchie Hwy
Suite 202
Arnold, MD 21012

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27233MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals LLC CurrentSince Nov 1, 2025 Accepting new patients
Arundel Mental Health Professionals L.C. CurrentSince Nov 1, 2025 Accepting new patients

Locations

2650 Quarry Lake Dr
Ste 200
Baltimore, MD 21209

1662 Village Grn
#B
Crofton, MD 21114

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1023882800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 QUARRY LAKE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 QUARRY LAKE DR STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093756",
            "telephone_number": "410-757-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CAMERON",
        "middle_name": "ROSENTHAL",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.