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DR. MARY SEBRENA JACKSON LCSW
NPI 1700186707
Social Worker - Clinical in Mcdonough, GA

Active since October 25, 2010
450 RACETRACK RD, MCDONOUGH, GA 30252(770) 305-9881(678) 565-4626 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Sebrena Jackson Lcsw NPPES

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

DR. MARY SEBRENA JACKSON LCSW (NPI 1700186707) is an individual clinical provider in Mcdonough, Georgia, licensed in Georgia (CSW004250) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1700186707
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. MARY SEBRENA JACKSONCredential: LCSW
Location Address450 RACETRACK RDMcdonough, GA 30252-6837
Mailing AddressPo Box 123Mcdonough, GA 30253-0123 · (770) 305-9881 · Fax (678) 565-4626
Phone(770) 305-9881
Fax(678) 565-4626
Sole ProprietorNo
Enumeration DateOctober 25, 2010
✔ NPI 1700186707 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 · CSW004250
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.
450 RACETRACK RD, Mcdonough, GA 30252
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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.

APPLE EDUCATIONAL AND COUNSELING SERVICES, LLC
Community/Behavioral Health
450 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (404) 295-9133

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 Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1700186707. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Where is Mary Jackson located?

Mary Jackson practices at 450 Racetrack Rd, Mcdonough, GA 30252. The listed phone number is (770) 305-9881.

What is Mary 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 Mary Jackson was last updated on October 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.