Maxine Jackson-Strong

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC303611 Issued in DC

Practice address

8006 Greenbury Dr
Greenbelt, MD 20770-3045

Phone

(301) 655-3363

NPI assigned

Sep 12, 2014

Last updated

Sep 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1700287364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8006 GREENBURY DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703045",
            "telephone_number": "301-655-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 GREENBURY DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703045",
            "telephone_number": "301-655-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-STRONG",
        "first_name": "MAXINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303611",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• J Frank LLC
• Radwan C Jaber, RPH
• Paula Jackson
• Sharryl Jackson
• Adenike Jacobs
• Kanchhedi L Jain, M.D.
• Ibrahim Jalloh, FNP

• Clinical Social Worker in Greenbelt, MD
• Providers in Greenbelt, 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 Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.