Active NPI
Iris Jackson, LCSW-C
- Social Worker
- Baltimore, MD
National Provider Identifier
1225324189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15995
- Practice address
- 6610B Tributary St Ste 310
Baltimore, MD 21224-6503 - Phone
- (443) 628-6956
- Fax
- (443) 628-6947
- NPI assigned
- Jun 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | 15995 | MD | Primary |
Addresses
Primary practice location
6610B Tributary St Ste 310
Baltimore, MD 21224-6503
Mailing address
6610 Tributary St
Suite 310
Baltimore, MD 21224-6514
Phone (443) 628-6956
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1225324189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6610 TRIBUTARY ST",
"address_2": "SUITE 310",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212246514",
"telephone_number": "443-628-6956",
"fax_number": "443-628-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6610B TRIBUTARY ST STE 310",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212246503",
"telephone_number": "443-628-6956",
"fax_number": "443-628-6947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "IRIS",
"name_prefix": "Dr.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "15995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.