Healthcare Provider Details

I. General information

NPI: 1447168018
Provider Name (Legal Business Name): JENNIFER LEIGH SIZEMORE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1826 VETERANS BLVD
DUBLIN GA
31021-3631
US

IV. Provider business mailing address

1826 VETERANS BLVD
DUBLIN GA
31021-3631
US

V. Phone/Fax

Practice location:
  • Phone: 478-272-1210
  • Fax: 478-274-5805
Mailing address:
  • Phone: 478-272-1210
  • Fax: 478-274-5805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW010392
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: