DIANE CATHLEEN JACKSON LCSW
NPI 1194765289
Social Worker - Clinical in Fayetteville, NC

Active since June 07, 2006
806 HAY ST, FAYETTEVILLE, NC 28305(910) 822-3333(910) 822-3336 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Diane Cathleen Jackson Lcsw NPPES

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

DIANE CATHLEEN JACKSON LCSW (NPI 1194765289) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C004576) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1194765289
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDIANE CATHLEEN JACKSONCredential: LCSW
Location Address806 HAY STFayetteville, NC 28305-5312
Mailing Address806 Hay StFayetteville, NC 28305-5312 · (910) 822-3333 · Fax (910) 822-3336
Fax(910) 822-3336
Sole ProprietorYes
Enumeration DateJune 7, 2006
Last NPPES UpdateSeptember 26, 2011
NPI 1194765289 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 · C004576
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.
806 HAY ST, Fayetteville, NC 28305

Other Identifiers 2

Medicaid6003734NC
Other136K7NC · Bcbs Of Nc

Other Providers at the Same Location NPPES 20

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

Physician Assistant
806 HAY ST
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
806 HAY ST
FAYETTEVILLE, NC 28305
Psychologist (Clinical)
806 HAY ST
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
806 HAY ST
FAYETTEVILLE, NC 28305
Physician Assistant
806 HAY ST
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
806 HAY ST
FAYETTEVILLE, NC 28305
Nurse Practitioner (Psychiatric/Mental Health)
806 HAY ST
FAYETTEVILLE, NC 28305
Psychologist (Clinical)
806 HAY ST
FAYETTEVILLE, NC 28305

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 Diane Jackson's NPI number?

The NPI number for Diane Jackson is 1194765289. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Diane Jackson located?

Diane Jackson practices at 806 Hay St, Fayetteville, NC 28305. The listed phone number is (910) 822-3333.

What is Diane 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 Diane Jackson was last updated on September 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.