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

Jay W. Eubanks Jr., LCSW-C

Individual provider Clinical Social Worker · NPI 1821455825

Jay W. Eubanks Jr., LCSW-C is a Clinical Social Worker in Gaithersburg, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2016

Practice location Address checks out

4 Professional Dr #120
Gaithersburg, MD 20879-3407
Phone: (301) 330-5669
Fax: (301) 330-5639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10007 (MD)

Record details

NPI number1821455825
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedJanuary 21, 2016
Last updated in NPPESJanuary 21, 2016
Mailing address20300 Cider Barrel Dr, Germantown, MD 20876-2760

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