Active NPI
Nikiya Ford-Jackson, LMSW, LGSW, LICSW,
- Social Worker
- Upper Marlboro, MD
National Provider Identifier
1881152981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LC50082168
- Practice address
- 10511 Brightfield LN
Upper Marlboro, MD 20772-2417 - Phone
- (301) 221-9549
- NPI assigned
- Mar 7, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 21607 | MD | |
| Social Worker | 104100000X | LC50082168 | DC | Primary |
Addresses
Primary practice location
10511 Brightfield LN
Upper Marlboro, MD 20772-2417
Mailing address
10511 Brightfield LN
Upper Marlboro, MD 20772-2417
Phone (301) 221-9549
Other practice location 1
6188 Oxon Hill Rd
Oxon Hill, MD 20745-3113
Phone (301) 567-0400
Other practice location 2
1628 Good Hope Rd SE
Washington, DC 20020-4706
Phone (202) 866-7505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50082168 | DC | MD | Social Worker |
| 21607 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Care DC Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1881152981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10511 BRIGHTFIELD LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207722417",
"telephone_number": "301-221-9549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10511 BRIGHTFIELD LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207722417",
"telephone_number": "301-221-9549"
}
],
"practiceLocations": [
{
"address_1": "6188 Oxon Hill Rd",
"address_purpose": "LOCATION",
"city": "Oxon Hill",
"state": "MD",
"postal_code": "207453113",
"country_code": "US",
"telephone_number": "301-567-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1628 Good Hope Rd SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200204706",
"country_code": "US",
"telephone_number": "202-866-7505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORD-JACKSON",
"first_name": "NIKIYA",
"credential": "LMSW, LGSW, LICSW,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "21607",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LC50082168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.