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

MS. Regina Michelle Jackson, LCSW

Individual provider Social Worker · NPI 1992432793

MS. Regina Michelle Jackson, LCSW is a Social Worker in Kennesaw, 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

2090 Baker Rd NW Ste 304-160
Kennesaw, GA 30144-4600
Phone: (770) 693-0817
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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 CSW008800 (GA)

Record details

NPI number1992432793
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 2, 2022
Last updated in NPPESMarch 7, 2026
Certification dateMarch 7, 2026

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