Individual provider Active NPI

Ashley Jackson, LCSW-C

  • Social Worker
  • Bel Air, MD
National Provider Identifier
1770237265
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
28170 Issued in MD
Practice address
336 S Main St Ste 1C
Bel Air, MD 21014-3978
Phone
(410) 836-0820
Fax
(443) 403-0734
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 28170 MD Primary

Addresses

Primary practice location

336 S Main St Ste 1C
Bel Air, MD 21014-3978

Mailing address

336 S Main St Ste 1C
Bel Air, MD 21014-3978
Phone (410) 836-0820

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
I20250613002824 MD Practitioner - Clinical Social Worker 3678921863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Project Chesapeake, LLCGroup PAC ID 2769603034, 18 clinicians
Oic Counseling Services, Inc.Group PAC ID 3375718950, 8 clinicians

Practice addresses (Care Compare)

1308 Business Ctr Way
Suite 102
Edgewood, MD 21040-1504
Phone (443) 461-3311

336 S Main St
Suite 1C
Bel Air, MD 21014-3978
Phone (410) 836-0820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Project Chesapeake, LLC CurrentSince Jun 10, 2025 Accepting new patients
Project Chesapeake, LLC CurrentSince Jun 10, 2025 Accepting new patients
Project Chesapeake, LLC Current Accepting new patients

Locations

108 Old Solomons Island Rd
Ste A
Annapolis, MD 21401
Phone (410) 266-5054

185 Admiral Cochrane Dr
Ste 225
Annapolis, MD 21401
Phone (443) 440-5788

185 Admiral Cochrane Dr
Ste 120
Annapolis, MD 21401

1308 Business Center Way
Ste 102
Edgewood, MD 21040
Phone (443) 261-3311

Organizations & group practices 4

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1770237265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S MAIN ST STE 1C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143978",
            "telephone_number": "410-836-0820",
            "fax_number": "443-403-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S MAIN ST STE 1C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143978",
            "telephone_number": "410-836-0820",
            "fax_number": "443-403-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ASHLEY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "28170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.