Jeffrey Mark Duckworth, LCSW
NPI 1487421848ActiveIndividual· Social Worker, Clinical· Dallas, GA
Social Worker, Clinical (LCSW) in Dallas, Georgia, licensed in GA, with an NPI issued in December 2023. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1487421848 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Dec 6, 2023 |
| Last updated in NPPES | Aug 23, 2024 |
| Certified by provider | Aug 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | CSW007902 | GA |
| Social Worker, Clinical | 1041C0700X | 007902 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (GA) |
|---|
Other Social Worker, Clinical providers in Dallas
- 1154806057
- 1053202655
- 1962294553
- 1912398868
- 1659695286
- 1134907330
- 1639304934
- 1316883572
- 1790356871
- 1952001331
- 1962234823
- 1093951410