DR. JACKSON K EDWARDS DMIN. LCSW NPI 1942686175

NPI Information

  • NPI: 1942686175
  • Provider Name: DR. JACKSON K EDWARDS, DMIN., LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 650 HENDERSON DR STE 430
    CARTERSVILLE, GA
    ZIP 30120
  • Phone: (404) 334-5859

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NPI Details

DR. Jackson K Edwards, DMIN., LCSW is a clinical social worker in Cartersville, GA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. DR. Jackson K Edwards, DMIN., LCSW NPI is 1942686175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

650 HENDERSON DR STE 430
CARTERSVILLE, GA
ZIP 30120-760
Phone: (404) 334-5859

The enumeration date for this NPI number is 8/11/2015 and was last updated on 6/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerMSW006645GEORGIANo
21041C0700XSocial WorkerClinicalCSW006235GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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