Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brendalan Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1487319208

Brendalan Jackson, LCSW is a Clinical Social Worker in Waldorf, Maryland. Practices as a sole proprietor. Licensed in District of Columbia, Delaware and Virginia.

Licensed in
DC, DE, VA
In the registry since
2021
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

9790 Frankfurt Dr
Waldorf, MD 20603-5346
Phone: (202) 459-8733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence Q3-0000338 (DE)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC20002422 (DC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904014977 (VA)

Record details

NPI number1487319208
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 5, 2021
Last updated in NPPESJanuary 20, 2024
Certification dateJanuary 20, 2024
Mailing address9790 Frankfurt Dr, Waldorf, MD 20603-5346

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