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

Nicole Jackson, LCSW-C

Individual provider Social Worker · NPI 1740849314

Nicole Jackson, LCSW-C is a Social Worker in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2019.

Licensed in
MD
In the registry since
2019
Specialties on file
2

Practice location Address checks out

16220 Frederick Rd Ste 310
Gaithersburg, MD 20877-4020
Phone: (301) 358-4388
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 24876 (MD)
Social Worker Taxonomy 104100000X · Licence 24876 (MD)

Record details

NPI number1740849314
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedJune 7, 2019
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

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