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

MS. Simajah Dominique Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1699408682

MS. Simajah Dominique Jackson, LCSW is a Clinical Social Worker in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

4410 Shirley Gate Rd
Fairfax, VA 22030-5518
Phone: (703) 205-9452
Fax: (703) 653-1389
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 0904013854 (VA)

Record details

NPI number1699408682
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 6, 2022
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022

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