Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyler-Leah C Jackson, LCSW

Individual provider Social Worker · NPI 1245900919

Tyler-Leah C Jackson, LCSW is a Social Worker in Atlanta, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Delaware and Georgia.

Licensed in
DE, GA
In the registry since
2021
Specialties on file
3
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

3931 Lake Manor Way
Atlanta, GA 30349-8225
Phone: (571) 205-4080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2130 Kingston Ct Se Ste E, Marietta, GA 30067-8952 — (678) 304-8215

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW008745 (GA)
Social Worker Taxonomy 104100000X · Licence LMSW9270 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence Q5-0000081 (DE)

Record details

NPI number1245900919
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 15, 2021
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

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