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

Individual provider Clinical Social Worker · NPI 1891305736

Jerrontay Jackson, LMSW is a Clinical Social Worker in Leesburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

199 Liberty St SW
Leesburg, VA 20175-2715
Phone: (804) 207-6737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0906017686 (VA)

Record details

NPI number1891305736
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedAugust 5, 2020
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address200 N 22nd St, Richmond, VA 23223-7020

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