Jackson Mental Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JACKSON MENTAL HEALTH

Practice address

318 Glenrae Dr
Catonsville, MD 21228-5850

Phone

(240) 405-2275

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Kathryn Jackson, LCSW-CNPI 1710478144

Title

Clinical Social Worker

Phone

(240) 405-2275

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Jackson, LCSW-C

  • Clinical Social Worker
  • Catonsville, MD
  • NPI 1710478144
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1639718000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 GLENRAE DR",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285850",
            "telephone_number": "240-405-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 GLENRAE DR",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285850",
            "telephone_number": "240-405-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "240-405-2275",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Iqbal, M.D.
• Ir Solutionz,LLC
• Ayesha Ishaq
• Dina Ismailova, LCPC
• Melanie Iyoriobhe, LCSW-C
• Kathryn Jackson, LCSW-C
• Kristen D Jackson, DPT
• Mysia Jackson, LCPC
• Ravali Jagata
• Nathinee Jaiarj, D.D.S.

• Clinical Social Worker in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.