Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaxcyn Therapy Group

Organization Clinical Social Worker · NPI 1972174258

Jaxcyn Therapy Group provides Clinical Social Worker services in Baltimore, Maryland. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Phone: (571) 867-0075
Fax: (202) 318-0667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1972174258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ta'Wane Watkins — Therapist · (571) 867-0075
NPI enumeratedJuly 7, 2021
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address1520 Belle View Blvd # 5011, Alexandria, VA 22307-6530

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