Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jovanna Omari Wilson Gaines, LCSW

Individual provider Clinical Social Worker · NPI 1407830615

Dr. Jovanna Omari Wilson Gaines, LCSW is a Clinical Social Worker in Moody AFB, Georgia. Licensed in New York and Oklahoma. Registered with an NPI since 2005.

Licensed in
NY, OK
In the registry since
2005
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3278 Mitchell Blvd
Moody AFB, GA 31699
Phone: (910) 394-4700
Fax: (910) 394-4711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 070002 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 070002-1 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 7893 (OK)

Record details

NPI number1407830615
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESAugust 28, 2023

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