Active NPI
Janice Jackson, LGSW
- Social Worker
- Hyattsville, MD
National Provider Identifier
1639349582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- G12541
- Practice address
- 6475 New Hampshire Ave
Hyattsville, MD 20783-3269 - Phone
- (301) 270-3200
- NPI assigned
- Mar 6, 2008
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50082372 | DC | |
| Social Worker | 104100000X | G12541 | MD | Primary |
Addresses
Primary practice location
6475 New Hampshire Ave
Hyattsville, MD 20783-3269
Mailing address
8418 Branchwood Cir
Clinton, MD 20735-2155
Phone (301) 856-8251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G12541 | MD | MD | Social Worker |
| LC50082372 | DC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
601 Pennsylvania Ave NW
Washington, DC 20004
Phone (202) 638-6942
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
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": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1639349582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8418 BRANCHWOOD CIR",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352155",
"telephone_number": "301-856-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6475 NEW HAMPSHIRE AVE",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207833269",
"telephone_number": "301-270-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JANICE",
"name_prefix": "Ms.",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50082372",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "G12541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.