Individual
ANDREA LANE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
1763 COLUMBIA RD NW STE 175, WASHINGTON, DC 20009-2891
(202) 318-3997
(202) 318-0501
Mailing address
1763 COLUMBIA RD NW STE 175, WASHINGTON, DC 20009-2891
(202) 381-3997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
087822
NY
1041C0700X
Clinical Social Worker
0904017420
VA
1041C0700X
Clinical Social Worker
091378
NY
1041C0700X
Clinical Social Worker
Primary
LC200003614
DC
Other
Enumeration date
06/18/2017
Last updated
08/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us