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

Mia Jackson, LCSW-C

Individual provider Clinical Social Worker · NPI 1093486136

Mia Jackson, LCSW-C is a Clinical Social Worker in Largo, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2021

Practice location Address checks out

1300 Mercantile Ln Ste 129-50
Largo, MD 20774-5327
Phone: (202) 940-2540
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 23602 (MD)

Record details

NPI number1093486136
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedSeptember 27, 2021
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address1300 Mercantile Ln Ste 129-50, Largo, MD 20774-5327

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