Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly L Jackson, LSW, MSW

Individual provider Social Worker · NPI 1679352017

Kimberly L Jackson, LSW, MSW is a Social Worker in Lithonia, Georgia. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2776 Parkway Cv
Lithonia, GA 30058-4656
Phone: (419) 699-2288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.1100848 (OH)

Record details

NPI number1679352017
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW , MSW
Sole proprietorYes
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

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