Jackey S McKinney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004503 Issued in GA

Practice address

361 Mansfield Way
Stockbridge, GA 30281-1579

Phone

(404) 275-2322

NPI assigned

Aug 25, 2011

Last updated

Aug 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1962782722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 MANSFIELD WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811579",
            "telephone_number": "404-275-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 MANSFIELD WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811579",
            "telephone_number": "404-275-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JACKEY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jaye McIntosh, MD
• Henry Lee McKay, MD
• Rachel Ayers McKay
• Denise McKinley
• McKinney Surgical Services
• Michael Lee McKinney Jr., CSA
• Schandra Christine McKinney, NP
• Whitney McKoy
• Richard William McLean I, M.D.
• Latosha McMullen

• Clinical Social Worker in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.