Provider Demographics
NPI:1962507525
Name:JACKSON, APRIL WILLIAMS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:WILLIAMS
Last Name:JACKSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1204
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22199-1204
Mailing Address - Country:US
Mailing Address - Phone:703-568-1314
Mailing Address - Fax:703-842-8112
Practice Address - Street 1:8988 LORTON STATION BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4758
Practice Address - Country:US
Practice Address - Phone:703-568-1314
Practice Address - Fax:703-842-8112
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040043681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical