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

MS. Stefani Michon Jackson, LCSW-C

Individual provider Clinical Social Worker · NPI 1669134839

MS. Stefani Michon Jackson, LCSW-C is a Clinical Social Worker in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2021

Practice location Address checks out

880 Sunny Lake Dr
Lawrenceville, GA 30043-4562
Phone: (301) 284-8176
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24016 (MD)

Record details

NPI number1669134839
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedOctober 6, 2021
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

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