MEDICARE: MISS MELISSA ELIZABETH JACKSON MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0906014997	VA

General Provider Information

NPI Number	:	1407626062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MELISSA ELIZABETH JACKSON MSW

Provider Business Mailing Address
First Line	:	2700 NEABSCO COMMON PL APT 321
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-6781
Country	:	US
Telephone Number	:	973-527-1896
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 E MARKET ST STE 301
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-3001
Country	:	US
Telephone Number	:	973-527-1896
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2024
Last Update Date	:	01/04/2024

Similar Medicare Providers

1366300931 — MRS. MARIA MCMURRAY CUNNINGHAM
Practice Location Address:

19 E MARKET ST STE 104
LEESBURG, VA
20176-3001

Practice Phone: 571-266-1808
Practice Fax:

1215167820 — HOME CARE SOLUTIONS, LLC
Practice Location Address:

19 E. MARKET STREET , SUITE 201
LEESBURG, VA
20176-3001

Practice Phone: 301-668-1515
Practice Fax: 301-668-2173

1083956585 — MR. BRUCE K. BUTLER MA
Practice Location Address:

19 E MARKET ST , SUITE 100
LEESBURG, VA
20176-3001

Practice Phone: 301-741-1565
Practice Fax:

1013741032 — DR. CHRISTIAN AMALU PSYD
Practice Location Address:

19 E MARKET ST STE 104
LEESBURG, VA
20176-3001

Practice Phone: 703-988-4339
Practice Fax:

1669330510 — KATHERINE BRODNER
Practice Location Address:

654A FORT EVANS RD NE APT 309
LEESBURG, VA
20176-4000

Practice Phone: 202-830-7107
Practice Fax:

1154289015 — PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
Practice Location Address:

44045 RIVERSIDE PKWY
LEESBURG, VA
20176-5101

Practice Phone: 800-243-3839
Practice Fax:

Directions to “ MISS MELISSA ELIZABETH JACKSON MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.