Brandon Jackson-Mills, LMSW; LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24999 Issued in MD

Practice address

8200 Professional PL
Hyattsville, MD 20785-2212

Phone

(301) 306-2428

NPI assigned

Dec 10, 2019

Sex

Male

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

Practice roles

Locations

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.

• Prism Therapeutics

  • Mental Health Counselor
  • Bowie, MD
  • NPI 1366392607
  NPD Authorized official
• Lantern Therapeutic Services, Inc

  • Community/Behavioral Health Agency
  • Landover, MD
  • NPI 1568837565
  NPD

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1821635715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 PROFESSIONAL PL STE 104",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207852293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 PROFESSIONAL PL",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852212",
            "telephone_number": "301-306-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-MILLS",
        "first_name": "BRANDON",
        "credential": "LMSW; LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LG50082944",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysia Isong
• Its Getting Better All the Time Mental Health Outreach Inc
• Bernardine C Iwuchukwu
• J Richard Lilly MD Shaaron R Towns MD and Associates PC
• Isihaka Jongo Jabiri
• Janice Jackson, LGSW
• Shantius Jackson, LPC
• Brandon Michael Jacobs, MD
• Colin Jacobson
• Byron Jaffe

• Clinical Social Worker in Hyattsville, MD
• Providers in Hyattsville, 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 Dec 10, 2019; 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.