Tavon Jackson, LMSW

NPI 1497673644 · on the registry since 2026

Practice

Address: 940 Madison Ave Ste 202
Baltimore, MD 21201
Phone: (410) 777-8710
Fax: (410) 559-5855
Organisation at this address: Dynamic Health System
Dynamic Health System Inc
Podiatry Associates, P.A.
Dynamic Health System Inc
Anthopadua Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland