Most Relevant Information
Provider Data
| NPI Number: | 1003277740 |
| Provider Name: | LINDSAY RUTH JACKSON LCSW-C, LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 16965 |
Most Important Dates
| Enumeration Date: | 03/08/2016 |
| Last Updated: | 08/19/2019 |
Provider Practice Location
1200 1ST ST NE FL 9
WASHINGTON
DC
200027953
Practice Location Phone/Fax
| Phone: | 2022763911 |
| Fax: |
Provider Mailing Location
6510 DUCKETTS LN
ELKRIDGE
MD
210756100
Provider Mailing Phone/Fax
| Phone: | 7325804413 |
| Fax: |