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MS. STEFANI MICHON JACKSON LCSW-C
NPI 1669134839
Social Worker - Clinical in Lawrenceville, GA

Active since October 06, 2021
880 SUNNY LAKE DR, LAWRENCEVILLE, GA 30043(301) 284-8176 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2024, Oct 6, 2021 (2 updates tracked since 2021).

About Ms. Stefani Michon Jackson Lcsw-c NPPES

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

MS. STEFANI MICHON JACKSON LCSW-C (NPI 1669134839) is an individual clinical provider in Lawrenceville, Georgia, licensed in Maryland (24016) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1669134839
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. STEFANI MICHON JACKSONCredential: LCSW-C
Location Address880 SUNNY LAKE DRLawrenceville, GA 30043-4562
Mailing Address1531 Rockville Pike Ste 1043Rockville, MD 20852-1601 · (301) 284-8176
Phone(301) 284-8176
Sole ProprietorYes
Enumeration DateOctober 6, 2021
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1669134839 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 MD · 24016
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.
880 SUNNY LAKE DR, Lawrenceville, GA 30043
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Other Providers at the Same Location NPPES

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

B-YOURBEST WOMEN'S WELLNESS & CHRISTIAN COUNSELING, LLC
Social Worker (Clinical)
880 SUNNY LAKE DR
LAWRENCEVILLE, GA 30043
Gwinnett County (301) 284-8176

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 Stefani Jackson's NPI number?

The NPI number for Stefani Jackson is 1669134839. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Stefani Jackson located?

Stefani Jackson practices at 880 Sunny Lake Dr, Lawrenceville, GA 30043. The listed phone number is (301) 284-8176.

What is Stefani Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Stefani Jackson was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.