Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346416955 Individual Practitioner Male Practitioner

Clinton Wayne Jackson , LCSW

Social Worker • Fort Moore, GA

Professional Overview & Biography Verified Profile Summary

Clinton Jackson, LCSW is a registered healthcare professional specializing in Social Worker in Fort Moore, GA. Practice services are available at 6600 VAN AALST BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6600 Van Aalst Blvd

Fort Moore, GA 319052102

Telephone 7624084065

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fort Moore, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Fort Moore, GA (2201 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-21
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License GA CSW004875

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.

Social Worker

NUCC Taxonomy Code: 104100000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003308560

Doctor of Osteopathic Medicine (D.O.)

Eric Henderson

Nurse Anesthetist, Certified Registered

NPI 1003599648
Dr. Antonio Ziherl , DO

Emergency Medicine

NPI 1013366145

Doctor of Osteopathic Medicine (D.O.)

Brooke Kahl , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013392992

Certified Registered Nurse Anesthetist

Amaza Tripp , MSN, APRN, CNP

Nurse Practitioner - Family

NPI 1013570035

Master of Science in Nursing, Advanced Practice Registered Nurse, Certified Nurse Practitioner

David Reynhout , PA

Physician Assistant

NPI 1013672336

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 22, 2023

Registered at 6600 VAN AALST BLVD, FORT MOORE, GA 319052102 (Tel: 7624084065)

📍
Updated Business Mailing Address September 22, 2023

Registered at MARTIN ARMY COMMUNITY HOSPITAL, 6600 VAN AALST BOULEVARD, FORT MOORE, GA 31905 (Tel: 7624084065)

👤
Provider Name / Credentials Updated September 22, 2023

Recorded as CLINTON JACKSON, LCSW

NPI Profile Active December 01, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2010

Registered at 2400 HOSPITAL RD, TUSKEGEE, AL 360835001 (Tel: 3347270550)

📍
Updated Business Mailing Address December 01, 2010

Registered at 602 WINALL DR, COLUMBUS, GA 319075239 (Tel: 7062216314)

👤
Provider Name / Credentials Updated December 01, 2010

Recorded as CLINTON JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2010

Social Worker

🟢
Initial NPI Registration & Enumeration May 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346416955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2008
Last Update: September 22, 2023
Sole Proprietor: No

Mailing Address

Martin Army Community Hospital, 6600 Van Aalst Boulevard

Fort Moore, GA 31905

Phone: 7624084065

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.