KIMBERLY L JACKSON LSW, MSW
NPI 1679352017
Social Worker in Lithonia, GA

Q: What is Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1679352017. It was assigned to this individual provider in the NPPES registry on September 25, 2023. The provider is also known as Kimberly L Jackson -Gayle Lsw, Msw.

Q: What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on September 25, 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.

Active since September 25, 2023

2776 PARKWAY CV, LITHONIA, GA 30058(419) 699-2288 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly L Jackson Lsw, Msw NPPES

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

KIMBERLY L JACKSON LSW, MSW (NPI 1679352017) is an individual social worker in Lithonia, Georgia, licensed in Ohio (S.1100848) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1679352017

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKIMBERLY L JACKSONCredential: LSW, MSW

Location Address2776 PARKWAY CVLithonia, GA 30058-4656

Mailing Address2776 Parkway CvLithonia, GA 30058-4656 · (419) 699-2288

Phone(419) 699-2288

Sole ProprietorYes

Enumeration DateSeptember 25, 2023

NPPES CertifiedSeptember 25, 2023

✔ NPI 1679352017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in OH · S.1100848

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2776 PARKWAY CV, Lithonia, GA 30058

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Other Names 1

Former Name (1)Kimberly L Jackson -gayle Lsw, Msw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1679352017. It was assigned to this individual provider in the NPPES registry on September 25, 2023. The provider is also known as Kimberly L Jackson -Gayle Lsw, Msw.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 2776 Parkway Cv, Lithonia, GA 30058. The listed phone number is (419) 699-2288.

What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on September 25, 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.