WITNI JACKSON
NPI 1083028112
Social Worker - Clinical in Jonesboro, GA

Q: What is Witni Jackson's NPI number?

The NPI number for Witni Jackson is 1083028112. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Q: What is Witni Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Witni Jackson was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 17, 2014

853 BATTLECREEK RD, JONESBORO, GA 30236(770) 478-1099(770) 478-8722 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Witni Jackson NPPES

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

WITNI JACKSON (NPI 1083028112) is an individual clinical provider in Jonesboro, Georgia, licensed in Georgia (CSW004999) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1083028112

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameWITNI JACKSON

Location Address853 BATTLECREEK RDJonesboro, GA 30236-1919

Mailing Address853 Battlecreek RdJonesboro, GA 30236-1919 · (770) 478-1099 · Fax (770) 478-8722

Phone(770) 478-1099

Fax(770) 478-8722

Sole ProprietorNo

Enumeration DateJune 17, 2014

✔ NPI 1083028112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in GA · CSW004999

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

853 BATTLECREEK RD, Jonesboro, GA 30236

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARZINYA SMITH

Registered Nurse