P Praxis·MD
● Active Type 1 · Individual

MR. Clinton Wayne Jackson JR., LCSW

Social Worker·Fort Moore, GA· NPI 1346416955 · Enumerated 2008 · 18 years on NPI
Jackson is 1 of 3 social worker providers in Fort Moore and 1 of 2137 in Georgia.
NPI age
18 years
Enumerated 2008-05-03
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2137 active social worker providers in Georgia.

NPI age
18 years
↑ 11 yr above median (7 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
6600 Van Aalst Blvd
Fort Moore, GA 319052102
📞 7624084065
Mailing address
Martin Army Community Hospital, 6600 Van Aalst Boulevard
Fort Moore, GA 31905
📞 7624084065

Specialties

  • Social Worker Primary
    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...
    GA license #CSW004875 taxonomy 104100000X

Practice context

Part of a multi-provider practice. 115 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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