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Kathryn Jackson, LCSW-C

Social Worker, Clinical in Catonsville, MD. Individual provider (NPI-1).

NPI number1710478144
StatusActive
Last updated in NPPESJun 13, 2025

Details

NPI
1710478144
Entity type
Individual (NPI-1)
Name
Kathryn Jackson
Credential
LCSW-C
Sex
Female
Sole proprietor
Yes
Enumeration date
May 22, 2018
Certification date
Jun 13, 2025
Last updated
Jun 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

318 Glenrae Dr
Catonsville, MD 21228-5850

Phone 240-405-2275

Mailing address

318 Glenrae Dr
Catonsville, MD 21228-5850

Phone 240-405-2275

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