Most Relevant Information
Provider Data
| NPI Number: | 1003196676 |
| Provider Name: | NIGEL DAMIEN JACKSON LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LC50078330 |
Most Important Dates
| Enumeration Date: | 08/26/2011 |
| Last Updated: | 08/26/2011 |
Provider Practice Location
1629 K ST NW STE 300
WASHINGTON
DC
200061631
Practice Location Phone/Fax
| Phone: | 2023748702 |
| Fax: |
Provider Mailing Location
3901 SUITLAND RD APT 908
SUITLAND
MD
207461918
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |