Individual ProviderAshley JacksonCase Manager/Care CoordinatorOther Service ProvidersPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408(202) 878-6626(301) 613-5593PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Jackson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1316636749Provider TypeIndividualFull NameJackson, AshleyCredentialBSW, M.EDGenderFemaleSole ProprietorYesEnumeration Date5/2/2023Last Updated2/26/2024Contact InformationPractice LocationPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408Phone(202) 878-6626FaxUnlisted FaxMailing LocationMailing Address21296 Lookout Dr, Lexington Park, MD 20653-2793Phone(301) 613-5593FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer