P Praxis·MD
● Active Type 1 · Individual

Kimberly L Jackson, LSW, MSW

Social Worker·Lithonia, GA· NPI 1679352017 · Enumerated 2023 · 2 years on NPI
Jackson is 1 of 14 social worker providers in Lithonia and 1 of 2137 in Georgia.
NPI age
2 years
Enumerated 2023-09-25
Primary specialty
Social Worker
Licensed in
OH
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2137 active social worker providers in Georgia.

NPI age
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-09Enumerated in NPPES
2023 2026

Where they practice

Practice location
2776 Parkway Cv
Lithonia, GA 300584656
📞 4196992288
Mailing address
2776 Parkway Cv
Lithonia, GA 300584656
📞 4196992288

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...
    OH license #S.1100848 taxonomy 104100000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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