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TYLER-LEAH C JACKSON LCSW
NPI 1245900919
Social Worker - Clinical in Atlanta, GA

Active since September 15, 2021
3931 LAKE MANOR WAY, ATLANTA, GA 30349(571) 205-4080 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2023, Sep 15, 2021 (2 updates tracked since 2021).

About Tyler-leah C Jackson Lcsw NPPES

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

TYLER-LEAH C JACKSON LCSW (NPI 1245900919) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (CSW008745) and active in the NPI registry since September 2021. She maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1245900919
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTYLER-LEAH C JACKSONCredential: LCSW
Location Address3931 LAKE MANOR WAYAtlanta, GA 30349-8225
Mailing Address3931 Lake Manor WayAtlanta, GA 30349-8225 · (571) 205-4080
Phone(571) 205-4080
Sole ProprietorYes
Enumeration DateSeptember 15, 2021
Last NPPES UpdateNovember 30, 20232 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
✔ NPI 1245900919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in GA · CSW008745✔ Licensed in DE · Q5-0000081
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.
Also ListedSocial WorkerTaxonomy 104100000X · License LMSW9270 (GA)
3931 LAKE MANOR WAY, Atlanta, GA 30349
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Secondary Practice Location 1

Location 12130 Kingston Ct SE Ste EMarietta, GA 30067-8952 · Phone (678) 304-8215

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource, UnitedHealthcare.Insurance ›

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 Tyler-leah Jackson's NPI number?

The NPI number for Tyler-leah Jackson is 1245900919. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Where is Tyler-leah Jackson located?

Tyler-leah Jackson practices at 3931 Lake Manor Way, Atlanta, GA 30349. The listed phone number is (571) 205-4080.

What is Tyler-leah Jackson's specialty?

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

What insurance does Tyler-leah Jackson accept?

Health plans from Alliant Health Plans, Inc., CareSource and UnitedHealthcare list Tyler-leah Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler-leah Jackson was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.