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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REAGEN JACKSON

Active Sole Proprietor

REAGEN JACKSON is a Clinical Social Worker healthcare provider located in LITHONIA, Georgia. NPI 1063060424 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LITHONIA, GA

Registration Details

NPI Number
1063060424
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2019 (6.9509810846458 yrs)
Last Updated
Aug 29, 2019
Sole Proprietor
Yes

Practice Information

Address
7301 FAIRINGTON RIDGE CIR
LITHONIA, GA, 300385612
Browse GA providers · Browse ZIP 30038
Phone
6784214516
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LITHONIA, GA

Name Credential NPI
MS. ELBRENDA WILEY LCSW 1558427039
CAROLYN RICHARDSON-ATUBEH LCSW 1326261751
MS. DONNA L. SPRINGER LCSW 1568648426
DR. DEBRA FULLER BROWN PHD 1285809368
MS. NICOLE JOHNSON 1477706232
MELANIE A ANDERSON LMSW 1598081184
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.