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

Mr. Clinton Wayne Jackson Jr., LCSW

Individual provider Social Worker · NPI 1346416955

Mr. Clinton Wayne Jackson Jr., LCSW is a Social Worker in Fort Moore, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (762) 408-4065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence CSW004875 (GA)
Social Worker Taxonomy 104100000X

Record details

NPI number1346416955
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 3, 2008
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 21, 2023

Other providers in Fort Moore