COURTNEY JACKSON
NPI 1043724156
Social Worker - Clinical in Lumberton, NC

Q: What is Courtney Jackson's NPI number?

The NPI number for Courtney Jackson is 1043724156. It was assigned to this individual provider in the NPPES registry on November 28, 2017.

Q: What is Courtney Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Jackson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2017

3581 LACKEY ST, LUMBERTON, NC 28360(910) 738-5023(910) 738-1451 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Mar 17, 2018, Nov 28, 2017 (2 updates tracked since 2017).

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About Courtney Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY JACKSON (NPI 1043724156) is an individual clinical provider in Lumberton, North Carolina, licensed in North Carolina (PO12000) and active in the NPI registry since November 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043724156

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCOURTNEY JACKSON

Location Address3581 LACKEY STLumberton, NC 28360-9048

Mailing Address3581 Lackey StLumberton, NC 28360-9048 · (910) 738-5023 · Fax (910) 738-1451

Phone(910) 738-5023

Fax(910) 738-1451

Sole ProprietorYes

Enumeration DateNovember 28, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1043724156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in NC · PO12000✔ Licensed in NC · P012000

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3581 LACKEY ST, Lumberton, NC 28360

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Secondary Practice Locations 2

Location 1109 W Central StMaxton, NC 28364-1703 · Phone (910) 738-5023 · Fax (910) 738-1451

Location 2310 Harris AveRaeford, NC 28376-3110 · Phone (910) 848-2267 · Fax (910) 738-1451

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health Plan of North Carolina, Inc, Oscar Insurance Company and more.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALESIA RENEE CARR LPC-A

Counselor (Professional)