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

Kelly Jackson, LCSW-C

Individual provider Clinical Social Worker · NPI 1710435953

Kelly Jackson, LCSW-C is a Clinical Social Worker in National Harbor, Maryland. Qualified in 2013, 13 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia, Maryland and Virginia.

Years since qualifying
13
Licensed in
DC, MD, VA
In the registry since
2016
Specialties on file
3

Practice location Address checks out

137 National Plz Ste 300
National Harbor, MD 20745
Phone: (301) 395-9033
Show map & directions

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

Additional practice locations (1)

  • 2255 Crain Hwy Ste 102, Waldorf, MD 20601-3186 — (240) 273-3117

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20520 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence LG50081123 (DC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904011702 (VA)

Record details

NPI number1710435953
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedSeptember 16, 2016
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services