Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerome D. Dingle, LCSW

Individual provider Mental Health Counselor · NPI 1942856976

Jerome D. Dingle, LCSW is a Clinical Social Worker in Columbus, Georgia. Qualified in 2019, 7 years ago. Practices with Pastoral Institute, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
Specialties on file
4
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

2022 15th Ave
Columbus, GA 31901-1699
Phone: (706) 649-6500
Fax: (706) 649-6521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CSW008544 (GA)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence CSW008544 (GA)
Counselor Taxonomy 101Y00000X · Licence CSW008544 (GA)

Record details

NPI number1942856976
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 15, 2019
Last updated in NPPESApril 16, 2023
Certification dateApril 16, 2023
Mailing address2022 15th Ave, Columbus, GA 31901-1699

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pastoral Institute, Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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