Brendalan Jackson, LCSW
NPI 1487319208ActiveIndividual· Social Worker· Waldorf, MD
Social Worker (LCSW) in Waldorf, Maryland, licensed in DE, DC and VA, with an NPI issued in November 2021.
Overview
| NPI | 1487319208 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Nov 5, 2021 |
| Last updated in NPPES | Jan 20, 2024 |
| Certified by provider | Jan 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | Q3-0000338 | DE |
| Social Worker, Clinical | 1041C0700X | LC20002422 | DC |
| Social Worker, Clinical | 1041C0700X | 0904014977 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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