Individual provider Active NPI

Alison Beth Jedrick, LCSW

  • Clinical Social Worker
  • Pooler, GA
National Provider Identifier
1841484599
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003513 Issued in GA
Practice address
135 W Tisbury LN
Pooler, GA 31322-8266
Phone
(912) 388-0604
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW003513 GA Primary

Addresses

Primary practice location

135 W Tisbury LN
Pooler, GA 31322-8266

Mailing address

135 W Tisbury LN
Pooler, GA 31322-8266
Phone (912) 388-0604

Other identifiers 1

IdentifierTypeStateIssuer
628184094AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130327000372 GA Practitioner - Clinical Social Worker 7113177205 Practice locations: Pooler, GA
I20150108000255 SC Practitioner - Clinical Social Worker 7113177205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

23 Plantation Park Dr
Suite 202
Bluffton, SC 29910-6072
Phone (916) 735-6618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW003513GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Counseling Associates of the Lowcountry, LLC CurrentSince Nov 6, 2014 Accepting new patients
Psychological and Counseling Center PastSince Nov 6, 2014 Accepting new patients
My Mental Wellness, LLC Clinical PastSince May 12, 2024 Accepting new patients

Locations

23 Plantation Park Dr
Ste 202
Bluffton, SC 29910
Phone (843) 290-6828

102 Buckwalter Pkwy
Ste 3U
Bluffton, SC 29910
Phone (843) 290-6828

102 Buckwalter Pkwy
Ste 3UV
Bluffton, SC 29910
Phone (843) 290-6828

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1841484599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W TISBURY LN",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313228266",
            "telephone_number": "912-388-0604",
            "fax_number": "770-995-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W TISBURY LN",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313228266",
            "telephone_number": "912-388-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDRICK",
        "first_name": "ALISON",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628184094A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

Verify at the official NPI Registry.