LORETTA PATRICE JACKSON LCSW
NPI 1063171510
Counselor - Mental Health in Brunswick, GA

Q: What is Loretta Jackson's NPI number?

The NPI number for Loretta Jackson is 1063171510. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Q: What is Loretta Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Loretta Jackson was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2021

323 HONEYGAL RD, BRUNSWICK, GA 31525(191) 224-2279 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Loretta Patrice Jackson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORETTA PATRICE JACKSON LCSW (NPI 1063171510) is an individual mental health provider in Brunswick, Georgia, licensed in Georgia (CSW007274) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1063171510

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameLORETTA PATRICE JACKSONCredential: LCSW

Location Address323 HONEYGAL RDBrunswick, GA 31525-5530

Mailing Address323 Honeygal RdBrunswick, GA 31525-5530 · (191) 224-2279

Phone(191) 224-2279

Sole ProprietorNo

Enumeration DateDecember 13, 2021

NPPES CertifiedDecember 13, 2021

✔ NPI 1063171510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · CSW007274

323 HONEYGAL RD, Brunswick, GA 31525

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loretta Jackson's NPI number?

The NPI number for Loretta Jackson is 1063171510. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Where is Loretta Jackson located?

Loretta Jackson practices at 323 Honeygal Rd, Brunswick, GA 31525. The listed phone number is (191) 224-2279.

What is Loretta Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Loretta Jackson was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.