IndividualActive
Carla Jack, LCSW
NPI 1992306989 · Mental Health Counselor · Decatur, GA
Carla Jack, LCSW is a Mental Health Counselor provider in Decatur, GA (NPI 1992306989).
Provider details
- NPI number
- 1992306989
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- CSW006674 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4151 Memorial Dr Ste 209c
Decatur, GA 30032-1597
Phone: (404) 508-0078
Fax: (404) 508-0071
Street-level locationGet directions
Mailing address
4151 Memorial Dr Ste 209c
Decatur, GA 30032-1597
Registry dates
- Enumerated
- 2020-11-05
- Last updated
- 2020-11-05
- Certified
- 2020-11-05
Frequently asked questions
- What is Carla Jack's NPI number?
- Carla Jack's National Provider Identifier (NPI) is 1992306989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carla Jack's specialty?
- Carla Jack is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Carla Jack located?
- Carla Jack's practice location on file with NPPES is 4151 Memorial Dr Ste 209c, Decatur, GA 30032-1597.
- What is Carla Jack's phone number?
- The practice phone number listed in the NPPES registry for Carla Jack is (404) 508-0078.
- Is Carla Jack's NPI active?
- Yes — Carla Jack's NPI (1992306989) is active in the NPPES registry as of the last update on 2020-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.