Individual provider · Type 1 NPI

Jerry Mitchell Register Jr., LCSW

Clinical Social Worker · Valdosta, GA

NPI number 1194455964 Active

Practice location

2935 N Ashley St Bldg F
Valdosta, GA 31602-1777

Call (229) 333-2273 Map

Fax (229) 506-5403

Mailing address

3338 Country Club Rd # 270
Valdosta, GA 31605-1044

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW008106 (GA)

Clinical Social Worker: 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 interpers…

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About NPI 1194455964

Jerry Mitchell Register Jr., LCSW's National Provider Identifier is 1194455964, issued on Jun 14, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Valdosta, GA. The record was last updated on Jun 14, 2022.