MAGDALA TULCIE JODESTY-JACKSON (NPI# 1073159034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073159034 |
| Entity Type | Individual |
| Full Name | MAGDALA TULCIE JODESTY-JACKSON |
| Credential | LMSW |
| Practice Address |
4343 Shalloword Road Building H, Suite 4 Lower Level Marietta GA 30062 |
| Mailing Address |
300 Brownhill Ct Woodstock GA 30188-2659 |
| Practice Telephone | 6786941573 |
| Mailing Telephone | 4047846774 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MSW004857 | GA | Behavioral Health & Social Service Providers |
| Street Address |
4343 SHALLOWORD ROAD BUILDING H, SUITE 4 LOWER LEVEL |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| 1396100111 | Lisa Marie Walsh | Nurse Practitioner | 4343 Shallowford Rd Ste B7b, Marietta, GA 30062 | 2015-12-21 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1659988434 | Jessica Ochei | Social Worker | 2546 Telfair Pl Ne, Marietta, GA 30062-4444 | 2020-09-25 |
| 1760010490 | Christina Patricia Neri | Social Worker | 1803 Tilliewood Trl Ne, Marietta, GA 30066-2968 | 2020-03-30 |
| 1083247787 | Colleen Sandick | Social Worker | 4330 Cornwallis Ct Ne, Marietta, GA 30068-2709 | 2020-02-20 |
| 1528601143 | Angela Caldwell-lawson | Social Worker | 1584 Park Brooke Cir Sw, Marietta, GA 30008-5308 | 2019-10-27 |
| 1093357006 | Katherine Kenreich | Social Worker | 1744 Roswell Rd Ste 215, Marietta, GA 30062-3979 | 2019-10-10 |
| 1841842283 | Essential Matters Counseling & Therapy, LLC | Social Worker | 2453 Powder Springs Rd Sw Ste 225c, Marietta, GA 30064-4570 | 2019-07-16 |
| 1801454731 | Laura Beth Rifkin | Social Worker | 273 Shaded Oaks Ln Se, Marietta, GA 30067-7440 | 2019-06-05 |
| 1952866006 | Marietta Counseling Practice | Social Worker | 142 S Park Sq Ne, Marietta, GA 30060-8616 | 2019-02-03 |
| 1871062190 | Meghan Vogt | Social Worker | 3315 Somerset Trce Se, Marietta, GA 30067-5013 | 2018-11-15 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.