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SAMANTHA JACKSON
NPI 1174257307
Social Worker - Clinical in Clinton, NC

Active since July 13, 2022
100 LOOP ST, CLINTON, NC 28328(910) 596-2221 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Jackson NPPES

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

SAMANTHA JACKSON (NPI 1174257307) is an individual clinical provider in Clinton, North Carolina, licensed in North Carolina (P017723) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1174257307
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA JACKSON
Location Address100 LOOP STClinton, NC 28328-4062
Mailing Address445 Tradewinds Dr Apt HFayetteville, NC 28314-0063 · (910) 990-3126
Phone(910) 596-2221
Sole ProprietorNo
Enumeration DateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
✔ NPI 1174257307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P017723
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.
100 LOOP ST, Clinton, NC 28328
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Other Providers at the Same Location NPPES 16

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

SYREETA L BLAKE
Social Worker (Clinical)
100 LOOP ST
CLINTON, NC 28328
Sampson County (919) 596-2221
STEPHANIE BREWER
Social Worker (Clinical)
100 LOOP ST
CLINTON, NC 28328
Sampson County (910) 596-2221
TONITA BELL SMITH LCMHCA
Counselor (Mental Health)
100 LOOP ST
CLINTON, NC 28328
Sampson County (910) 596-2221
HELENA FAYE DRENNAN LCMHC-A
Counselor (Mental Health)
100 LOOP ST
CLINTON, NC 28328
Sampson County (910) 596-2221
DARLENE EYVETTE WILLIAMS LCSW-A
Social Worker (Clinical)
100 LOOP ST
CLINTON, NC 28328
Sampson County (910) 596-2221
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Psychologist (Group Psychotherapy)
100 LOOP ST
CLINTON, NC 28328
Sampson County (910) 596-2221
PAMELIA ELAINE FAISON-DAVIS
Social Worker (Clinical)
100 LOOP ST
CLINTON, NC 28328
Sampson County (910) 596-2221
DR. CYNTHIA L TAYLOR
Counselor (Mental Health)
100 LOOP ST
CLINTON, NC 28328
Sampson County (910) 596-2221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Jackson's NPI number?

The NPI number for Samantha Jackson is 1174257307. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Samantha Jackson located?

Samantha Jackson practices at 100 Loop St, Clinton, NC 28328. The listed phone number is (910) 596-2221.

What is Samantha Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Samantha Jackson was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.