Individual provider Active NPI

Beth Z Jackson, LCSW

  • Clinical Social Worker
  • Alpharetta, GA
National Provider Identifier
1699103242
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005424 Issued in GA
Practice address
1065 Powers PL
Alpharetta, GA 30009-7204
Phone
(706) 425-8900
NPI assigned
Oct 17, 2013
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005424 GA
Clinical Social Worker 1041C0700X CSW005424 GA Primary

Addresses

Primary practice location

1065 Powers PL
Alpharetta, GA 30009-7204

Mailing address

3050 Haven Reserve
Milton, GA 30004-7541
Phone (404) 295-5887

Other names 1

  • Beth Z Jackson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160127000675 GA Practitioner - Clinical Social Worker 0042512998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1065 Powers PL
Suite B
Alpharetta, GA 30009-7205
Phone (678) 699-0021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Z Jackson, LLC Clinical CurrentSince Dec 22, 2015 Accepting new patients

Locations

1065 Powers Pl
Ste B
Alpharetta, GA 30009
Phone (678) 699-0021

6740 Jamestown Dr
Alpharetta, GA 30005
Phone (770) 833-9966

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1699103242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 HAVEN RESERVE",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300047541",
            "telephone_number": "404-295-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 POWERS PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097204",
            "telephone_number": "706-425-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BETH",
        "middle_name": "Z",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "005424",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "JACKSON",
            "middle_name": "Z",
            "credential": "LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.