Jackie Denise Dixon, LCSW
Individual provider Active NPI Clinical Social Worker · Bainbridge, GA
NPI 1447528526 · NPPES record last updated Sep 30, 2025
Key facts
- NPI
- 1447528526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW006353 (GA)
- Practice address
- 904 N Miller Ave
Bainbridge, GA 39817-2640 - Phone
- (229) 416-6155
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Florida State University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
3372 Peachtree Rd NE
Suite 115
Atlanta, GA 30326-1963
Phone (866) 630-0966
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240314002928 | GA | Practitioner - Clinical Social Worker | 1557707304 |
Reassigns benefits to 1 organization Practice locations: Bainbridge, GA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge of Hope Counseling Services, LLC | Current |
Accepting new patients | |
| Sondermind Provider Network LLC | Clinical | Current |
Accepting new patients |
Locations
3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW006353 | GA | Yes |
Addresses
Primary practice location
904 N Miller Ave
Bainbridge, GA 39817-2640
Mailing address
904 N Miller Ave
Bainbridge, GA 39817-2640
Phone (229) 416-6155
Other names
- Jackie Denise Dixon
Other providers in Bainbridge, GA
- Decatur County School System
- Decatur Emergency Physicians LLC
- Decatur Opco LLC
- Leslie Ann Dellenbarger
- Deseree Broddie
- Dena Cutts Donalson
- Margaret Howell Dudley
- Kristie Eakin
- Alicia S Estillore-Cruz
- Eye Partners PC
All providers in Bainbridge, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.