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

Jerry Mitchell Register Jr., LCSW

Individual provider Clinical Social Worker · NPI 1194455964

Jerry Mitchell Register Jr., LCSW is a Clinical Social Worker in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
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

2935 N Ashley St Bldg F
Valdosta, GA 31602-1777
Phone: (229) 333-2273
Fax: (229) 506-5403
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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 CSW008106 (GA)

Record details

NPI number1194455964
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 14, 2022
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

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