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

MS. Jackie Denise Dixon, LCSW

Individual provider Clinical Social Worker · NPI 1447528526

MS. Jackie Denise Dixon, LCSW is a Clinical Social Worker in Bainbridge, Georgia. Graduated from Florida State University College of Medicine in 1993, 33 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
33
Trained at
Florida State University College of Medicine
Licensed in
GA
In the registry since
2011
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

904 N Miller Ave
Bainbridge, GA 39817-2640
Phone: (229) 416-6155
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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 CSW006353 (GA)

Record details

NPI number1447528526
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 5, 2011
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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