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JESSICA LAUREN PACKMAN LCSW
NPI 1811414964
Social Worker - Clinical in Marietta, GA

Active since August 29, 2017Opted out of Medicare · through Aug 18, 2027
2551 ROSWELL RD STE 415, MARIETTA, GA 30062(404) 620-4843(678) 303-3448 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Lauren Packman Lcsw NPPES

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

JESSICA LAUREN PACKMAN LCSW (NPI 1811414964) is an individual clinical provider in Marietta, Georgia, licensed in Georgia (CSW6192) and active in the NPI registry since August 2017. She has opted out of Medicare through August 18, 2027.

NPPES Registry Identity

NPI1811414964
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA LAUREN PACKMANCredential: LCSW
Location Address2551 ROSWELL RD STE 415Marietta, GA 30062-4761
Mailing Address213 Highland Park PtWoodstock, GA 30188-4897 · (404) 620-4843 · Fax (678) 303-3448
Phone(404) 620-4843
Fax(678) 303-3448
Sole ProprietorYes
Enumeration DateAugust 29, 2017
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1811414964 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 · CSW6192
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.
2551 ROSWELL RD STE 415, Marietta, GA 30062
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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Lauren Packman Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 18, 2021 through August 18, 2027.

Opt-Out Effective DateAugust 18, 2021
Opt-Out In Effect ThroughAugust 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

BRITTANY NICOLE WYATT LPC
Counselor (Mental Health)
2551 ROSWELL RD STE 415
MARIETTA, GA 30062
Cobb County (678) 802-9323
RESILIENCY THERAPY SERVICES
Social Worker (Clinical)
2551 ROSWELL RD STE 415
MARIETTA, GA 30062
Cobb County (404) 620-4843

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 Jessica Packman's NPI number?

The NPI number for Jessica Packman is 1811414964. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Jessica Packman located?

Jessica Packman practices at 2551 Roswell Rd Ste 415, Marietta, GA 30062. The listed phone number is (404) 620-4843.

What is Jessica Packman's specialty?

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

Is Jessica Packman enrolled in Medicare?

No. Jessica Packman has opted out of Medicare through August 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Packman was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.